Organization Active NPI

Eyecare and Eyewear LLC

Doing business as James D Mayes OD

  • Optometrist
  • Hobbs, NM
National Provider Identifier
1568592707
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
269 Issued in NM
Legal business name
EYECARE AND EYEWEAR LLC
Doing business as
James D Mayes OD
Practice address
723 N Turner St
Hobbs, NM 88240-8234
Phone
(575) 393-2020
Fax
(575) 397-4319
NPI assigned
Mar 6, 2007
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mrs. Ashley A Rodriguez
Title
Office Manager
Phone
(575) 393-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 269 NM Primary

Addresses

Primary practice location

723 N Turner St
Hobbs, NM 88240-8234

Mailing address

723 N Turner St
Hobbs, NM 88240-8234
Phone (575) 393-2020

Other identifiers 1

IdentifierTypeStateIssuer
P5994MedicaidNM

Other names 1

  • James D Mayes OD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525000006 NM Part B Supplier - Clinic/Group Practice 7315214210 Receives reassigned benefits from 1 practitioner
Practice locations: Hobbs, NM

National Provider Directory

National Provider Directory

Locations

723 N Turner St
Hobbs, NM 88240
Phone (575) 393-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1568592707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N TURNER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882408234",
            "telephone_number": "575-393-2020",
            "fax_number": "575-397-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N TURNER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882408234",
            "telephone_number": "575-393-2020",
            "fax_number": "575-397-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE AND EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-393-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P5994",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James D Mayes OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.