Raymond Eichwald
Individual provider Active NPI Optician · Cuba, NM
NPI 1659413391 · NPPES record last updated Jul 8, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 19, 2015.
Key facts
- NPI
- 1659413391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 6312 Hwy 550
Cuba, NM 87013 - Phone
- (505) 289-0148
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NM | Yes |
Addresses
Primary practice location
6312 Hwy 550
Cuba, NM 87013
Mailing address
2724 Madison St NE
Albuquerque, NM 87110-3012
Phone (505) 884-6940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P9936 | Medicaid | NM |
Other providers in Cuba, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.