NPIMap

Organization Active NPI

Jay S. Folkman OD PC

Doing business as Folkman Vise and Associates Eye Clinic

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1871796201
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2294 Issued in NM
Legal business name
JAY S. FOLKMAN OD PC
Doing business as
Folkman Vise and Associates Eye Clinic
Practice address
6821 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109-1410
Phone
(505) 881-7440
Fax
(505) 837-2117
NPI assigned
Jun 5, 2007
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Jay S Folkman, O.D.P.CNPI 1891737474
Title
Optometrist
Phone
(505) 881-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP2294 NM Primary

Addresses

Primary practice location

6821 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109-1410

Mailing address

6821 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109-1444
Phone (505) 881-7440

Other identifiers 1

IdentifierTypeStateIssuer
PO748MedicaidNM

Other names 1

  • Folkman Vise and Associates Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6821 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 881-7440

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1871796201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MONTGOMERY BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091444",
            "telephone_number": "505-881-7440",
            "fax_number": "505-837-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 MONTGOMERY BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091410",
            "telephone_number": "505-881-7440",
            "fax_number": "505-837-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. FOLKMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "FOLKMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-881-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.P.C"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO748",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Folkman Vise and Associates Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2010; 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.