Active NPI
Judy Ann Perea-Maes, O.D.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1871625947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM0298 | Other | NM | EYEMED VISION PLAN |
| 30-NM00003 | Other | NM | AVESIS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 298 | NM | MD | Clinical Psychologist |
| 2298 | NM | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V.a.C, LLC | Optometrist | Current | 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.