TJK Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NM 629 Issued in NM

Legal business name

TJK VISION LLC

Practice address

201 W Fox St
Carlsbad, NM 88220-5736

Phone

(575) 885-3937

Fax

(575) 885-1178

NPI assigned

Jul 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Kunz, ODNPI 1558642769

Title

Optometrist

Phone

(208) 251-8669

Specialties & licenses 1

Addresses

Other names 1

• Vision Source Carlsbad Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 4

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

• Colby Barton, OD

  • Optometrist
  • Roswell, NM
  • NPI 1750802682
  Medicare reassignment Care Compare group NPD
• Spencer Franz, O.D.

  • Optometrist
  • Hobbs, NM
  • NPI 1316297682
  Medicare reassignment Care Compare group NPD
• Thomas Jacob Kunz, O.D.

  • Optometrist
  • Las Cruces, NM
  • NPI 1558642769
  Medicare reassignment NPD Authorized official
• Andrew Lyman, OD

  • Optometrist
  • Carlsbad, NM
  • NPI 1811778822
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436572800000",
    "number": "1992189757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W FOX ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205736",
            "telephone_number": "575-885-3937",
            "fax_number": "575-885-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W FOX ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205736",
            "telephone_number": "575-885-3937",
            "fax_number": "575-885-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJK VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-11",
        "last_updated": "2015-07-11",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-251-8669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM 629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Carlsbad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Paige Thomas
• Maaike Thomas, LMSW
• Julie A Thornton
• Mark Christian Tilley, D.C.
• Apoorva Reddy Tiparti, PHARM.D.
• TLC Home Health Care, LLC
• TLC Home Health Care, LLC
• TLC Home Health Care, LLC
• TLC Home Health Care, LLC
• Mario Toledo-Couret, MD

• Optometrist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.