Individual provider Active NPI

Lauren Deveraux O'Neal, OD

  • Optometrist
  • Santa Fe, NM
National Provider Identifier
1548747223
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT701 Issued in NM
Practice address
4250 Cerrillos Rd
Santa Fe, NM 87507-4697
Phone
(505) 438-6111
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT701 NM Primary

Addresses

Primary practice location

4250 Cerrillos Rd
Santa Fe, NM 87507-4697

Mailing address

9429 Allande Rd NE
Albuquerque, NM 87109-6617
Phone (505) 850-0583

Other practice location 1

5700 San Antonio Dr NE Ste B4
Albuquerque, NM 87109-4179
Phone (505) 247-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019000524 NM Practitioner - Optometry 5193078236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eyecare Specialists P CGroup PAC ID 8426012600, 7 clinicians

Practice addresses (Care Compare)

7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867
Phone (505) 346-0500

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100Reported as group
Quality
94.8
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT701NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eyecare Specialists P C CurrentSince Nov 6, 2023 Accepting new patients
Cottonwood Vision Care LLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Eye Institute of Albuquerque, PC PastSince May 1, 2001 Accepting new patients

Locations

7110 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 241-5461

10400 Academy Rd NE
Ste 390
Albuquerque, NM 87111
Phone (505) 294-4444

1646 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 452-2020

6601 4th St NW
Ste R
Los Ranchos, NM 87107
Phone (505) 452-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1548747223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 ALLANDE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096617",
            "telephone_number": "505-850-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074697",
            "telephone_number": "505-438-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 San Antonio Dr NE Ste B4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094179",
            "country_code": "US",
            "telephone_number": "505-247-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "LAUREN",
        "middle_name": "DEVERAUX",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.