Active NPI
Ronald Stephen Vigil, O.D., F.A.A.O.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1639247604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 491
- Practice address
- 7009 Montgomery Blvd NE
Albuquerque, NM 87109-1598 - Phone
- (505) 883-2550
- Fax
- (505) 881-8931
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 491 | NM | Primary |
Addresses
Primary practice location
7009 Montgomery Blvd NE
Albuquerque, NM 87109-1598
Mailing address
4235 Altura Vista LN NE
Albuquerque, NM 87110-5064
Phone (505) 266-6082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Vision Optometry, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Rio Rancho, NM
- NPI 1770136269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1639247604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 ALTURA VISTA LN NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105064",
"telephone_number": "505-266-6082",
"fax_number": "505-881-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091598",
"telephone_number": "505-883-2550",
"fax_number": "505-881-8931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "RONALD",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "O.D., F.A.A.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "491",
"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 Nov 10, 2011; 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.