NPIMap

Organization Active NPI

City of Vision Eyecare, P.C.

  • Optometrist
  • Rio Rancho, NM
National Provider Identifier
1811072333
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2264 Issued in NM
Legal business name
CITY OF VISION EYECARE, P.C.
Practice address
4025 Jackie Rd SE
Rio Rancho, NM 87124-6610
Phone
(505) 892-8411
Fax
(505) 891-5497
NPI assigned
Oct 25, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Dean S. Reynolds, O.D.
Title
Co-Owner
Phone
(505) 892-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP2264 NM Primary

Addresses

Primary practice location

4025 Jackie Rd SE
Rio Rancho, NM 87124-6610

Mailing address

4025 Jackie Rd SE
Rio Rancho, NM 87124-6610
Phone (505) 892-8411

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste A
Rio Rancho, NM 87124
Phone (505) 892-8411

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1811072333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 JACKIE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246610",
            "telephone_number": "505-892-8411",
            "fax_number": "505-891-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 JACKIE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246610",
            "telephone_number": "505-892-8411",
            "fax_number": "505-891-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VISION EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-892-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.