NPIMap

Eye Associates of New Mexico, LTD.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Farmington, NM

NPI 1598802464 · NPPES record last updated Dec 20, 2024

Key facts

NPI
1598802464
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
EYE ASSOCIATES OF NEW MEXICO, LTD.
Practice address
622 W Maple St
Suite E
Farmington, NM 87401-6590
Phone
(505) 325-4003
Fax
(505) 327-6140
NPI assigned
Jan 31, 2007
Organization subpart
No

Authorized official

Name
Amber Kristin Terry
Title
Credentialing Coordinator
Phone
(505) 246-2622

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 66

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

View all 66

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Associates of NM
622 W Maple St, Farmington, NM 87401-6589 · (505) 325-4003		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930013474 NM DME Supplier - Physician - Ophthalmology
DME Supplier - Optician
DME Supplier - Physician - Optometrist		 4486643616 Practice locations: Farmington, NM

National Provider Directory

Tax ID family
Robert P Rivera MD (12 organizations share this tax ID)

Locations

622 W Maple St
Ste E
Farmington, NM 87401
Phone (505) 325-4003

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP		 152W00000X
Optician
Group: 193200000X MULTI-SPECIALTY GROUP		 156FX1800X
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

622 W Maple St
Suite E
Farmington, NM 87401-6590

Mailing address

8801 Horizon Blvd NE Ste 360
Albuquerque, NM 87113-1563
Phone (505) 246-2622

Other identifiers

IdentifierTypeStateIssuer
CH4370OtherNMRAILROAD MEDICARE (RRB)
CN6728OtherNMRAILROAD MEDICARE (RRB)
K5006MedicaidNM
47951MedicaidNM

Other names

  • Eye Associates of New Mexico Doing business as

Other providers in Farmington, NM

All providers in Farmington, NM · Durable Medical Equipment & Medical Supplies in New Mexico

Sources for this page

Verify at the official NPI Registry.