NPIMap

Organization Active NPI

Los Alamos Family Eyecare, P.C.

  • Optometrist
  • Los Alamos, NM
National Provider Identifier
1972820488
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NM476 Issued in NM
Legal business name
LOS ALAMOS FAMILY EYECARE, P.C.
Practice address
800 Trinity Dr Ste B
Los Alamos, NM 87544-4105
Phone
(505) 662-9681
NPI assigned
Apr 23, 2010
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Lisa ShinNPI 1427150994
Title
O.D.
Phone
(505) 662-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NM476 NM Primary

Addresses

Primary practice location

800 Trinity Dr Ste B
Los Alamos, NM 87544-4105

Mailing address

800 Trinity Dr. Ste B
Los Alamos, NM 87544

National Provider Directory

National Provider Directory

Locations

800 Trinity Dr
Ste B
Los Alamos, NM 87544
Phone (505) 662-2968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1972820488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TRINITY DR. STE B",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TRINITY DR STE B",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444105",
            "telephone_number": "505-662-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMOS FAMILY EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "505-662-9681"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.