NPIMap

Organization Active NPI

Marc Ellman MD, PA

Doing business as Southwest Eye Institute

  • Durable Medical Equipment & Medical Supplies
  • Deming, NM
National Provider Identifier
1881987428
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARC ELLMAN MD, PA
Doing business as
Southwest Eye Institute
Southwestern Eye Center -DME
Practice address
1515 S 8TH St
Deming, NM 88030-4940
Phone
(575) 546-2860
Fax
(575) 546-2870
NPI assigned
May 16, 2011
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Kathy Hunt
Title
Credentialing Manager
Phone
(602) 598-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1515 S 8TH St
Deming, NM 88030-4940

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (602) 598-7488

Other names 2

  • Southwest Eye Institute Doing business as
  • Southwestern Eye Center -DME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000522 NM DME Supplier - Physician - Optometrist 1850296989 Practice locations: Deming, NM

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southwestern Eye Center1515 South 8TH Street, Deming, NM 88030-4940(575) 544-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Dec 19, 2011

National Provider Directory

National Provider Directory
Tax ID family
Lance Wozniak MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1881987428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "602-598-7488",
            "fax_number": "602-231-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S 8TH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304940",
            "telephone_number": "575-546-2860",
            "fax_number": "575-546-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC ELLMAN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-598-7557"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwestern Eye Center -DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.