NPIMap

Organization Active NPI

New Mexico Eye Clinic LL

  • Optometrist
  • Rio Rancho, NM
National Provider Identifier
1568550002
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
258 Issued in NM
Legal business name
NEW MEXICO EYE CLINIC LL
Practice address
1316 Jackie Rd SE Ste 850
Rio Rancho, NM 87124-6606
Phone
(505) 891-0880
Fax
(505) 891-5415
NPI assigned
Oct 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Donald E Rodgers
Title
M.D. -Owner
Phone
(505) 891-0880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 258 NM Primary
Specialist 174400000X 76-254 NM

Addresses

Primary practice location

1316 Jackie Rd SE Ste 850
Rio Rancho, NM 87124-6606

Mailing address

1316 Jackie Rd SE Ste 850
Rio Rancho, NM 87124-6606
Phone (505) 891-0880

Other identifiers 2

IdentifierTypeStateIssuer
0000P0425MedicaidNM
23200MedicaidNM

National Provider Directory

National Provider Directory

Locations

1316 Jackie Rd SE
Ste 850
Rio Rancho, NM 87124
Phone (505) 891-0880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568550002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 850",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246606",
            "telephone_number": "505-891-0880",
            "fax_number": "505-891-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 850",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246606",
            "telephone_number": "505-891-0880",
            "fax_number": "505-891-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO EYE CLINIC LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "M.D. -OWNER",
        "authorized_official_telephone_number": "505-891-0880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "258",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "76-254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000P0425",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23200",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.