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EYE ASSOCIATES OF NEW MEXICO LTD NPI 1104868520


NPI Information

NPI: 1104868520
Provider Name: EYE ASSOCIATES OF NEW MEXICO LTD

Doing Business As: EYE ASSOCIATES OF NEW MEXICO

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 842-6575
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EYE ASSOCIATES OF NEW MEXICO LTD is an ophthalmology in Albuquerque, NM. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE ASSOCIATES OF NEW MEXICO LTD NPI is 1104868520. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eye Associates Of New Mexico.

The provider's business location address is:

806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM
ZIP 87102-657
Phone: (505) 842-6575
Fax: (505) 213-0103

The provider's authorized official is Michelle Rolande Butcher .
The authorized official title is Credentialing Administrator and has the following contact phone number (505) 828-4923.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 3/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K5006MEDICAIDNEW MEXICO
21198269-02MEDICAIDTEXAS
3CN6728OTHERNEW MEXICORAILROAD MEDICARE
4=========003MEDICAIDUTAH
5CH4370OTHERNEW MEXICORAILROAD MEDICARE
6310132MEDICAIDARIZONA
72371784MEDICARE PIN
847951MEDICAIDNEW MEXICO
994-000619MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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