Individual provider Active NPI

Terri D Eachus, OD

  • Optometrist
  • Roswell, NM
National Provider Identifier
1710092531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
319 Issued in NM
Practice address
204 E College Blvd
Roswell, NM 88201
Phone
(505) 625-9800
Fax
(505) 624-1724
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 319 NM Primary

Addresses

Primary practice location

204 E College Blvd
Roswell, NM 88201

Mailing address

204 E College Blvd
Roswell, NM 88201
Phone (505) 625-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000529 NM Practitioner - Optometry 9537279864 Practice locations: Roswell, NM

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

204 E College Blvd
Rosewell, NM 88201-5161
Phone (575) 625-9800

Hospital & facility affiliations

  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
319NMMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Catchers Inc 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710092531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-625-9800",
            "fax_number": "505-624-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-625-9800",
            "fax_number": "505-624-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EACHUS",
        "first_name": "TERRI",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.