Active NPI
Jane Compton OD LLC
- Optometrist
- Taos, NM
National Provider Identifier
1659940690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JANE COMPTON OD LLC
- Practice address
- 710 Paseo del Pueblo Sur Ste F
Taos, NM 87571-6062 - Phone
- (575) 758-2205
- Fax
- (575) 751-7102
- NPI assigned
- Jun 23, 2021
- 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
- Louise Fernandez, OD
- Title
- Owner
- Phone
- (575) 758-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
710 Paseo del Pueblo Sur Ste F
Taos, NM 87571-6062
Mailing address
PO Box 1867
Taos, NM 87571-1867
Phone (575) 758-2205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0771 | Medicaid | NM |
Other names 1
- Jane Compton OD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
710 S Santa Fe Rd
Ste F
Taos, NM 87571
Phone (505) 758-2205
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Taos, NM
- NPI 1306852447
-
- Neuro-ophthalmology Physician
- Belchertown, MA
- NPI 1144398942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627257600000",
"number": "1659940690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1867",
"city": "TAOS",
"state": "NM",
"postal_code": "875711867",
"telephone_number": "575-758-2205",
"fax_number": "575-751-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 PASEO DEL PUEBLO SUR STE F",
"city": "TAOS",
"state": "NM",
"postal_code": "875716062",
"telephone_number": "575-758-2205",
"fax_number": "575-751-7102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE COMPTON OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "LOUISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-758-2205",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P0771",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jane Compton OD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jane Compton OD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.