NPIMap

Individual provider Active NPI

Lorraine Gomez

  • Optician
  • Albuquerque, NM
National Provider Identifier
1629396015
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
4201 Central Ave NE
#B2
Albuquerque, NM 87105-1630
Phone
(505) 836-4322
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Eye Care Associates Current Accepting new patients
New Mexico Eyecare P.C. Current Accepting new patients
Gomez Eyewear, LLC Optician Past Accepting new patients

Locations

10701 Montgomery Blvd NE
Ste L
Albuquerque, NM 87111
Phone (505) 828-0828

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

NPPES NPI Registry

Primary practice location

4201 Central Ave NE
#B2
Albuquerque, NM 87105-1630

Mailing address

10701 Montgomery Blvd NE
Suite L
Albuquerque, NM 87111-3816
Phone (505) 828-0828

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2010.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1629396015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MONTGOMERY BLVD NE",
            "address_2": "SUITE L",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113816",
            "telephone_number": "505-828-0828",
            "fax_number": "505-828-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NE",
            "address_2": "#B2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-836-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.