New Mexico Laser Eye Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEW MEXICO LASER EYE CENTER, LLC

Practice address

205 East Llano Estacado Blvd.
Suite a
Clovis, NM 88101

Phone

(806) 353-0125

Fax

(806) 355-0834

NPI assigned

Feb 6, 2015

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol T Carpenter

Title

Chief Executive Officer

Phone

(806) 467-0459

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1841681269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50720",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590720",
            "telephone_number": "806-467-0459",
            "fax_number": "806-355-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST LLANO ESTACADO BLVD.",
            "address_2": "SUITE A",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "806-353-0125",
            "fax_number": "806-355-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO LASER EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "806-467-0459",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clovis, NM
• Providers in Clovis, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.