Organization Active NPI

Gomez Eyewear, LLC

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1982922670
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GOMEZ EYEWEAR, LLC
Practice address
10701 Montgomery Blvd NE
Suite L
Albuquerque, NM 87111-3816
Phone
(505) 828-0828
Fax
(505) 828-0848
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Lorraine GomezNPI 1629396015
Title
Owner
Phone
(505) 620-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

10701 Montgomery Blvd NE
Suite L
Albuquerque, NM 87111-3816

Mailing address

10701 Montgomery Blvd NE
Suite L
Albuquerque, NM 87111-3816
Phone (505) 828-0828

Other names 1

  • NEW MEXICO EYECARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1982922670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MONTGOMERY BLVD NE",
            "address_2": "SUITE L",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113816",
            "telephone_number": "505-828-0828",
            "fax_number": "505-828-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MONTGOMERY BLVD NE",
            "address_2": "SUITE L",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113816",
            "telephone_number": "505-828-0828",
            "fax_number": "505-828-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-620-0185"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW MEXICO EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.