Active NPI
Eye Associates of New Mexico, LTD.
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NM
National Provider Identifier
1609913482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EYE ASSOCIATES OF NEW MEXICO, LTD.
- Practice address
- 248 Mills Ave
Las Vegas, NM 87701-4125 - Phone
- (505) 426-8866
- Fax
- (505) 426-8601
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carole Jean Wright, CAO
- Title
- Chief Administrative Officer
- Phone
- (505) 768-1335
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Optician | 156FX1800X | |||
| Ophthalmology Physician | 207W00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
248 Mills Ave
Las Vegas, NM 87701-4125
Mailing address
8801 Horizon Blvd NE
Suite 360
Albuquerque, NM 87113-1533
Phone (505) 246-2622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K5006 | Medicaid | NM | |
| 47951 | Medicaid | NM | |
| CH4370 | Other | NM | RAILROAD MEDICARE (RRB) |
| CN6728 | Other | NM | RAILROAD MEDICARE (RRB) |
Other names 1
- Eye Associates of New Mexico
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1205878758
Member Of
-
- Ambulatory Surgical Clinic/Center
- Santa Fe, NM
- NPI 1255373676
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Las Vegas, NM
- NPI 1154571412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1609913482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 HORIZON BLVD NE",
"address_2": "SUITE 360",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131533",
"telephone_number": "505-246-2622",
"fax_number": "505-213-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 MILLS AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014125",
"telephone_number": "505-426-8866",
"fax_number": "505-426-8601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE ASSOCIATES OF NEW MEXICO, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "CAROLE JEAN",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "505-768-1335",
"authorized_official_credential": "CAO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K5006",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47951",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE (RRB)",
"identifier": "CH4370",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE (RRB)",
"identifier": "CN6728",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Associates of New Mexico",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.