Jarrett Wayne Dotson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT708 Issued in NM

Practice address

5700 San Antonio Dr NE
Albuquerque, NM 87109-4178

Phone

(505) 247-1073

NPI assigned

Jul 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Institute of Albuquerque, PC

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1073550513

  Single Specialty

  Medicare reassignment NPD
• The Cataract Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • Albuquerque, NM
  • NPI 1013463934
  NPD (past)
• The Lasik Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • Albuquerque, NM
  • NPI 1770998668
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1992282206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 COUGAR RUN CT SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232797",
            "telephone_number": "505-660-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SAN ANTONIO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094178",
            "telephone_number": "505-247-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "JARRETT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet A Dosher, RPH
• Paras Doshi
• Charlie Michael Doss, MD
• James Dossett, MD
• Brenna Ann Dotson, LCSW
• Donald Deane Doty Jr., CPO
• Ryder Doty, CPOA, CFO, CFTS
• Double Happiness LLC
• Double J Squared
• Christina N Doucette, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.

Verify at the official NPI Registry.