Tiffany Garcia Martinez, O.D.

Individual provider Active NPI Optometrist · Los Ranchos, NM

NPI 1851522445 · NPPES record last updated Apr 6, 2011

Key facts

NPI
1851522445
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
611 (NM)
Practice address
502 El Pueblo Rd NW
Los Ranchos, NM 87114-1105
Phone
(505) 385-0826
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
611NMMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Vision Care Optometrist Past
since May 1, 2011
Accepting new patients
Eyeworks LTD Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 611 NM Yes

Addresses

Primary practice location

502 El Pueblo Rd NW
Los Ranchos, NM 87114-1105

Mailing address

502 El Pueblo Rd NW
Los Ranchos, NM 87114-1105
Phone (505) 385-0826

Other names

  • Tiffany Anne Garcia Former name

Other providers in Los Ranchos, NM

All providers in Los Ranchos, NM · Optometrist in New Mexico

Sources for this page

Verify at the official NPI Registry.