Organization Active NPI

Socorro Family Eye Care

  • Optometrist
  • Socorro, NM
National Provider Identifier
1861907131
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
692 Issued in NM
Legal business name
SOCORRO FAMILY EYE CARE
Practice address
122 Plaza St
Socorro, NM 87801-4566
Phone
(575) 835-3937
NPI assigned
Dec 8, 2017
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Dr. Laura County, ODNPI 1497154926
Title
Owner
Phone
(575) 835-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 692 NM Primary

Addresses

Primary practice location

122 Plaza St
Socorro, NM 87801-4566

Mailing address

Campus Station
Box 2021
Socorro, NM 87801
Phone (575) 418-8456

Other identifiers 1

IdentifierTypeStateIssuer
07671814MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlauracounty@direct.eyemdemr.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180226001083 NM Part B Supplier - Clinic/Group Practice 2163783671 Receives reassigned benefits from 1 practitioner
Practice locations: Socorro, NM

National Provider Directory

National Provider Directory

Locations

122 Plaza St
Socorro, NM 87801
Phone (575) 835-3937

Practitioners & affiliated clinicians

Practitioners 1

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": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1861907131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPUS STATION",
            "address_2": "BOX 2021",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "87801",
            "telephone_number": "575-418-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PLAZA ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014566",
            "telephone_number": "575-835-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORRO FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "COUNTY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-835-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07671814",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlauracounty@direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Plaza St",
            "city": "Socorro",
            "state": "NM",
            "country_code": "US",
            "postal_code": "878014566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.