Active NPI
Eyes of the Southwest, PC
- Ophthalmology Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 98290
- Legal business name
- EYES OF THE SOUTHWEST, PC
- Practice address
- 2810 N Telshor Blvd
Las Cruces, NM 88011-8230 - Phone
- (575) 523-2020
- NPI assigned
- Feb 26, 2008
- Last updated
- Feb 26, 2008
- 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
- Dr. Edward Victor Hernandez, M.D.
- Title
- President
- Phone
- (575) 523-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 98290 | NM | Primary |
Addresses
Primary practice location
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Mailing address
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Phone (575) 523-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2068209 | Eyes of the Southwest | Certificate of waiver | Oct 29, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- ehernandez@eyesofsw.intellechartdirect.net
- mnewbold@eyesofsw.intellechartdirect.net
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Eyewear Supplier
- Las Cruces, NM
- NPI 1114354719
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Las Cruces, NM
- NPI 1346263126
-
- Optometrist
- Las Cruces, NM
- NPI 1083283642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1780853549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118230",
"telephone_number": "575-523-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118230",
"telephone_number": "575-523-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES OF THE SOUTHWEST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "575-523-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NM",
"license": "98290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.