Individual provider Active NPI

Jon Roger Hall, MD

  • Ophthalmology Physician
  • Las Cruces, NM
National Provider Identifier
1972506368
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2001-205 Issued in NM
Practice address
755 S Telshor Blvd
Ste 101C
Las Cruces, NM 88011-4644
Phone
(575) 522-3393
NPI assigned
May 31, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2001-205 NM Primary

Addresses

Primary practice location

755 S Telshor Blvd
Ste 101C
Las Cruces, NM 88011-4644

Mailing address

755 S Telshor Blvd
Ste 101C
Las Cruces, NM 88011-4644
Phone (575) 522-3393

Other identifiers 2

IdentifierTypeStateIssuer
32605OtherCIGNA/LOVELACE
NM009780OtherNMBLUE CROSS/BLUE SHEILD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000361 NM Practitioner - Ophthalmology 5991773780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore Eye Clinic IncorporatedGroup PAC ID 7214069293, 13 clinicians

Practice addresses (Care Compare)

4111 Camino Coyote
A
Las Cruces, NM 88011-7096
Phone (575) 522-3393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore Eye Clinic Incorporated Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
Fillmore Eye Clinic Incorporated Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
Fillmore Eye Clinic Incorporated Past Accepting new patients

Locations

1120 10th St
Alamogordo, NM 88310
Phone (505) 437-6838

1124 10th St
Alamogordo, NM 88310
Phone (575) 434-1200

805 W Bush Ave
Artesia, NM 88210

850 W Florida St
Deming, NM 88030
Phone (505) 546-6548

1415 S Valley Dr
Ste 200
Las Cruces, NM 88005
Phone (575) 800-5931

4111 Camino Coyote
Las Cruces, NM 88011
Phone (575) 562-6767

4111 Camino Coyote
#A
Las Cruces, NM 88011
Phone (575) 522-3393

755 S Telshor Blvd
Ste 101C
Las Cruces, NM 88011
Phone (575) 522-3393

700 Mechem Dr
Ruidoso, NM 88345
Phone (575) 257-9300

1210 E 32nd St
Silver City, NM 88061
Phone (505) 538-3721

205 E Smith Ave
Truth Or Consequences, NM 87901
Phone (575) 522-3393

Interoperability endpoints

  • Direct secure messaging: jhall@fec.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1972506368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD",
            "address_2": "STE 101C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114644",
            "telephone_number": "575-522-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD",
            "address_2": "STE 101C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114644",
            "telephone_number": "575-522-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JON",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "2001-205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/LOVELACE",
            "identifier": "32605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "NM009780",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.