Gila Eyecare, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GILA EYECARE, INC.

Practice address

604 W Spring St
Silver City, NM 88061-4847

Phone

(575) 388-4464

Fax

(575) 388-2014

NPI assigned

May 12, 2006

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas M. Mittica Jr., M.D.NPI 1023060696

Title

Physician/Owner

Phone

(575) 388-4464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Gila Optical, Inc.

  • Optician
  • Silver City, NM
  • NPI 1972188803
  NPPES parent name

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.

• Nicholas M. Mittica Jr., M.D.

  • Ophthalmology Physician
  • Silver City, NM
  • NPI 1023060696

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1881644433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "MITTICA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "575-388-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27502562",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lorraine Garrison, CNP
• Gabriel Gavaldon, BA,AS
• Genoa Healthcare LLC
• Martha Gigger, MA, LBSW
• Gila Anesthesiology Services, PC
• Gila OB GYN Associates PC
• Gila Optical, Inc.
• Gila Pathology Services PA
• Gila Regional Medical Center
• Gila Regional Medical Center (Gila Regional Pediatrics)

• Specialist in Silver City, NM
• Providers in Silver City, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.