Active NPI
Rodger V Lewis, OD
- Optometrist
- Las Cruces, NM
National Provider Identifier
1932182920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0232
- Practice address
- 709 N Main St
Las Cruces, NM 88001-1119 - Phone
- (575) 524-4351
- Fax
- (575) 524-8159
- NPI assigned
- Nov 22, 2005
- Last updated
- Jan 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0232 | NM | Primary |
Addresses
Primary practice location
709 N Main St
Las Cruces, NM 88001-1119
Mailing address
PO Box 340
Las Cruces, NM 88004-0340
Phone (575) 524-4351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO862 | Medicaid | NM | |
| 35044 | Other | NM | DAVIS |
| NM0232 | Other | NM | EYEMED |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000608 | NM | Practitioner - Optometry | 9830350925 | Practice locations: Las Cruces, NM |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1932182920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880040340",
"telephone_number": "575-524-4351",
"fax_number": "575-524-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N MAIN ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011119",
"telephone_number": "575-524-4351",
"fax_number": "575-524-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RODGER",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "0232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PO862",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "35044",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NM0232",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.