Individual provider Active NPI

Jay S Folkman, OD

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1891737474
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2294 Issued in NM
Practice address
6821 Montgomery NE
Ste C
Albuquerque, NM 87109-1444
Phone
(505) 881-7440
Fax
(505) 837-2117
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2294 NM Primary

Addresses

Primary practice location

6821 Montgomery NE
Ste C
Albuquerque, NM 87109-1444

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PO748MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000300 NM Practitioner - Optometry 6204936545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
505 Eyecare, LLCGroup PAC ID 3375914344, 3 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2294NMMDOptometrist
2294NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
505 Eyecare, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Folkman Vise and Associates Eye Clinic Optometrist Past Accepting new patients

Locations

6821 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109
Phone (505) 822-8387

Organizations & group practices 2

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1891737474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MONTGOMERY 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 NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091444",
            "telephone_number": "505-881-7440",
            "fax_number": "505-837-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKMAN",
        "first_name": "JAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO748",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.