Individual provider Active NPI

Aitana Elizabeth Marquez, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1730861832
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-2023-0002 Issued in NM
Practice address
3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Phone
(505) 298-2020
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-2023-0002 NM Primary

Addresses

Primary practice location

3701 Eubank Blvd NE
Albuquerque, NM 87111-3536

Mailing address

3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Phone (505) 298-2020

Other practice location 1

112 Hermosa Dr SE
Albuquerque, NM 87108-2610
Phone (505) 265-3443

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
I20231113001793 NM Practitioner - Optometry 2961859913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Associates of OptometryGroup PAC ID 9335138452, 6 clinicians

Practice addresses (Care Compare)

3701 Eubank Blvd NE
Sandia Vision Clinic
Albuquerque, NM 87111-3536
Phone (505) 298-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associates of Optometry Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Albuquerque Associates of Optometry Optometrist PastSince Sep 1, 2023 Accepting new patients

Locations

112 Hermosa Dr SE
Albuquerque, NM 87108
Phone (505) 265-3443

3701 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 298-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1730861832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113536",
            "telephone_number": "505-298-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113536",
            "telephone_number": "505-298-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Hermosa Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082610",
            "country_code": "US",
            "telephone_number": "505-265-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "AITANA",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2023-0002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.