NPIMap

Organization Active NPI

Salt & Light Eye Care, LLC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1851032098
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SALT & LIGHT EYE CARE, LLC
Doing business as
Salt & Light Eye Care, LLC
Practice address
10409 Montgomery Pkwy NE Ste 205
Albuquerque, NM 87111-3862
Phone
(505) 205-5555
NPI assigned
Apr 3, 2022
Last updated
Apr 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Authorized official

Name
Dr. Melynda Monte, OD
Title
Optometris/Owner
Phone
(505) 205-5555

Specialties & licenses 1

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

Addresses

Primary practice location

10409 Montgomery Pkwy NE Ste 205
Albuquerque, NM 87111-3862

Mailing address

10409 Montgomery Pkwy NE Ste 205
Albuquerque, NM 87111-3862
Phone (505) 205-5555

Other names 1

  • Salt & Light Eye Care, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003047 NM Part B Supplier - Clinic/Group Practice 0648652081 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

10409 Montgomery Pkwy NE
Albuquerque, NM 87111

10409 Montgomery Pkwy NE
Ste 205
Albuquerque, NM 87111
Phone (505) 205-5555

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.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648944000000",
    "number": "1851032098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 MONTGOMERY PKWY NE STE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113862",
            "telephone_number": "505-205-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MONTGOMERY PKWY NE STE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113862",
            "telephone_number": "505-205-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MONTE",
        "authorized_official_first_name": "MELYNDA",
        "authorized_official_title_or_position": "OPTOMETRIS/OWNER",
        "authorized_official_telephone_number": "505-205-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt & Light Eye Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.