Jeremy Botwin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

634 Issued in NM

Practice address

444 Saint Michaels Dr
Santa Fe, NM 87505-7620

Phone

(505) 954-4442

NPI assigned

May 15, 2011

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Botwin Eye Group PAGroup PAC ID 1052486891, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Botwin Eye Group PA

  • Optometrist
  • Santa Fe, NM
  • NPI 1114193935
  Medicare reassignment Care Compare group NPD
• Matthew I. Ehrlich, M.D., P.C.

  dba Ehrlich Laser Eye Center

  • Specialist
  • Santa Fe, NM
  • NPI 1225274145
  NPD (past)

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1902198500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057620",
            "telephone_number": "505-954-4442",
            "fax_number": "505-954-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057620",
            "telephone_number": "505-954-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTWIN",
        "first_name": "JEREMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-15",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosvita N.a. Botkin, PH.D., LMHC.,LPAT.,
• Ellen Botsian
• Patricia Bott, PT
• Francesca Rose Bottos, MA, LPCC
• Botwin Eye Group PA
• Jonathan Daniel Botwin, O.D.
• Mark Andrew Botwin, O.D. P.A.
• Vanlin Chan Botwin, O.D.
• Alexis Bouffard, RN
• Linda Lucy Boulanger, MD

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.