Individual provider Active NPI

Judy Ann Perea-Maes, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1871625947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2298 Issued in NM
Practice address
6321 Riverside Plaza LN NW
Suite B
Albuquerque, NM 87120-2642
Phone
(505) 897-3937
Fax
(505) 899-1224
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2298 NM Primary

Addresses

Primary practice location

6321 Riverside Plaza LN NW
Suite B
Albuquerque, NM 87120-2642

Mailing address

6321 Riverside Plaza LN NW
Suite B
Albuquerque, NM 87120-2642
Phone (505) 897-3937

Other identifiers 2

IdentifierTypeStateIssuer
NM0298OtherNMEYEMED VISION PLAN
30-NM00003OtherNMAVESIS VISION PLAN

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298NMMDClinical Psychologist
2298NMMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
V.a.C, LLC Optometrist CurrentSince Jan 14, 2019 Accepting new patients

Locations

6321 Riverside Plaza Ln NW
Ste B
Albuquerque, NM 87120
Phone (505) 897-3937

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871625947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 RIVERSIDE PLAZA LN NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202642",
            "telephone_number": "505-897-3937",
            "fax_number": "505-899-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 RIVERSIDE PLAZA LN NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202642",
            "telephone_number": "505-897-3937",
            "fax_number": "505-899-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA-MAES",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION PLAN",
            "identifier": "NM0298",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS VISION PLAN",
            "identifier": "30-NM00003",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.