Individual provider Active NPI

Vanlin Chan Botwin, O.D.

  • Optometrist
  • Santa Fe, NM
National Provider Identifier
1851726533
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
658 Issued in NM
Practice address
125 W Water St
Santa Fe, NM 87501-2136
Phone
(505) 982-2020
NPI assigned
Sep 12, 2013
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 658 NM Primary

Addresses

Primary practice location

125 W Water St
Santa Fe, NM 87501-2136

Mailing address

125 W Water St
Santa Fe, NM 87501-2136
Phone (505) 982-2020

Other practice location 1

444 Saint Michaels Dr
Santa Fe, NM 87505-7620
Phone (505) 438-2020

Other identifiers 2

IdentifierTypeStateIssuer
87955822MedicaidNM
P01284318OtherNMRAILROAD MEDICARE

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
I20131230000858 NM Practitioner - Optometry 2264669910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians
Botwin Eye Group PAGroup PAC ID 1052486891, 5 clinicians

Practice addresses (Care Compare)

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

444 Saint Michaels Dr a
Santa Fe, NM 87505-7674
Phone (505) 954-4442

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
658NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Botwin Eye Group PA Optometrist CurrentSince Dec 7, 2024 Accepting new patients
Eye Associates of New Mexico LTD Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Matthew I. Ehrlich, M.D., P.C. PastSince Dec 7, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

5757 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 888-5757

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

125 W Water St
Santa Fe, NM 87501
Phone (505) 982-2020

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

444 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 438-2020

444 Saint Michaels Dr
Ste A
Santa Fe, NM 87505
Phone (505) 944-4442

Organizations & group practices 5

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1851726533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W WATER ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012136",
            "telephone_number": "505-982-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W WATER ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012136",
            "telephone_number": "505-982-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Saint Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057620",
            "country_code": "US",
            "telephone_number": "505-438-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTWIN",
        "first_name": "VANLIN",
        "middle_name": "CHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87955822",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01284318",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.