Individual provider Active NPI

Ashley J. Pulis, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1851672836
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
635 Issued in NM
Practice address
9131 High Assets Way NW
Albuquerque, NM 87120
Phone
(505) 898-4884
Fax
(505) 898-8274
NPI assigned
Sep 2, 2011
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 635 NM Primary

Addresses

Primary practice location

9131 High Assets Way NW
Albuquerque, NM 87120

Mailing address

9131 High Assets Way NW
Albuquerque, NM 87120-5802
Phone (505) 898-4884

Other practice location 1

1090 Goat Springs Road
Taos, NM 87571-1946
Phone (575) 758-4224

Other identifiers 2

IdentifierTypeStateIssuer
K3543MedicaidNM
25927779MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000250 NM Practitioner - Optometry 2264689645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9131 High Assets Way
Albuquerque, NM 87120-5802
Phone (505) 898-4884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accent on Vision Albuquerque LLC Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Ashley J Pulis OD LLC PastSince Aug 1, 2013 Accepting new patients

Locations

9131 High Assets Way NW
Albuquerque, NM 87120
Phone (505) 898-4884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1851672836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 HIGH ASSETS WAY NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205802",
            "telephone_number": "505-898-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 HIGH ASSETS WAY NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-898-4884",
            "fax_number": "505-898-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Goat Springs Road",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875711946",
            "country_code": "US",
            "telephone_number": "575-758-4224",
            "fax_number": "575-751-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULIS",
        "first_name": "ASHLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K3543",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25927779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.