Active NPI
Ann T. Maiers, O.D.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1689615577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 335
- Practice address
- 5757 Harper Dr NE
Albuquerque, NM 87109 - Phone
- (505) 888-5757
- Fax
- (505) 889-3589
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 335 | NM | Primary |
Addresses
Primary practice location
5757 Harper Dr NE
Albuquerque, NM 87109
Mailing address
8801 Horizon Blvd NE
Suite 360
Albuquerque, NM 87113-1533
Phone (505) 246-2622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36293 | Medicaid | NM | |
| NM00P132 | Other | NM | BC BS OF NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335 | NM | MD | Acupuncturist |
| 2335 | NM | MD | Homeopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1689615577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 HORIZON BLVD NE",
"address_2": "SUITE 360",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131533",
"telephone_number": "505-246-2622",
"fax_number": "505-213-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 HARPER DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-888-5757",
"fax_number": "505-889-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIERS",
"first_name": "ANN",
"middle_name": "T.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36293",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF NM",
"identifier": "NM00P132",
"state": "NM"
}
],
"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 Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.