Retina Consultants of New Mexico, LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA CONSULTANTS OF NEW MEXICO, LLC

Practice address

6401 Holly Ave NE
Albuquerque, NM 87113-2474

Phone

(505) 235-4005

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Nathaniel Roybal, MD, PHDNPI 1639375397

Title

Owner/Physician

Phone

(505) 235-4005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Nathaniel Roybal, M.D

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1639375397
  Medicare reassignment Care Compare group NPD Authorized official
• Onelys Ariane Uzcategui, MD

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1588077531
  Medicare reassignment Care Compare group NPD
• Jamie L Odden

  • Retina Specialist (Ophthalmology) Physician
  • Albuquerque, NM
  • NPI 1427588698
  Medicare reassignment NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1558960799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132474",
            "telephone_number": "505-235-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132474",
            "telephone_number": "505-235-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ROYBAL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "505-235-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restore Medical Spa, LLC
• Maria Liliana Restrepo, CHW
• Adrian Samuel Reta, MD
• Czarina Cecilia Retana, MD
• Martin Retherford, D.O.M.
• Retreat Home Health
• Maria Retunski
• Returning to Balance
• Ming Reu
• Jennifer Reuschlein, SLP

• Retina Specialist (Ophthalmology) Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Retina Specialist (Ophthalmology) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.