NPIMap

Organization Active NPI

DRS. Gutowski & Sonnenmoser

Doing business as Family Vision Care Clinic

  • Optometrist
  • Tucumcari, NM
National Provider Identifier
1881761088
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
333 Issued in NM
Legal business name
DRS. GUTOWSKI & SONNENMOSER
Doing business as
Family Vision Care Clinic
Practice address
301 E Route 66 Blvd
Tucumcari, NM 88401-3296
Phone
(575) 461-4233
Fax
(575) 461-4233
NPI assigned
Nov 30, 2006
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DRS. GUTOWSKI & SONNENMOSERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Anatole Frank Gutowski, OD
Title
Optometric Physician
Phone
(575) 461-4233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 337 NM
Optometrist 152W00000X 333 NM Primary

Addresses

Primary practice location

301 E Route 66 Blvd
Tucumcari, NM 88401-3296

Mailing address

301 E Route 66 Blvd
Tucumcari, NM 88401-3296
Phone (575) 461-4233

Other identifiers 4

IdentifierTypeStateIssuer
E8076MedicaidNM
P0821MedicaidNM
410032284OtherNMRAIL RAOD MEDICARE
E9156MedicaidNM

Other names 1

  • Family Vision Care Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Family Vision Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1881761088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ROUTE 66 BLVD",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013296",
            "telephone_number": "575-461-4233",
            "fax_number": "575-461-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ROUTE 66 BLVD",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013296",
            "telephone_number": "575-461-4233",
            "fax_number": "575-461-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GUTOWSKI & SONNENMOSER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS. GUTOWSKI & SONNENMOSER",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "GUTOWSKI",
        "authorized_official_first_name": "ANATOLE",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "575-461-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "337",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E8076",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0821",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RAOD MEDICARE",
            "identifier": "410032284",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E9156",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.