Modern Eyez LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MODERN EYEZ LLC

Practice address

1721 Golf Course Rd SE
Rio Rancho, NM 87124-1729

Phone

(505) 896-2010

Fax

(505) 896-2012

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Lynn A Davis, OD

Title

Owner

Phone

(505) 896-2010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1851865919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241729",
            "telephone_number": "505-896-2010",
            "fax_number": "505-896-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241729",
            "telephone_number": "505-896-2010",
            "fax_number": "505-896-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-896-2010",
        "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": []
}

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• Providers in Rio Rancho, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.