Karlyn Gansel Ang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

388 Issued in NM

Practice address

5343 Wyoming Blvd NE
Suite 2
Albuquerque, NM 87109-3199

Phone

(505) 332-2020

Fax

(505) 332-8343

NPI assigned

Feb 17, 2006

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1619942398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 WYOMING BLVD NE",
            "address_2": "STE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093199",
            "telephone_number": "505-332-2020",
            "fax_number": "505-332-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 WYOMING BLVD NE",
            "address_2": "SUITE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093199",
            "telephone_number": "505-332-2020",
            "fax_number": "505-332-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "KARLYN",
        "middle_name": "GANSEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000P1448",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Albuquerque, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.