Provider Type Icon

IDOC INC NPI 1245763929


NPI Information

NPI: 1245763929
Provider Name: IDOC, INC

Doing Business As: I DOC'S

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 32D2043601

Address:
3811 CERRILLOS RD STE 103
STE 103
SANTA FE, NM
ZIP 87507
Phone: (505) 989-9600
Get Directions

IDOC, INC is an optometrist in Santa Fe, NM. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. IDOC, INC NPI is 1245763929. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As I Doc's.

The provider's business location address is:

3811 CERRILLOS RD STE 103
STE 103
SANTA FE, NM
ZIP 87507-112
Phone: (505) 989-9600
Fax: (505) 982-3616

The provider's authorized official is Eric Stoneking .
The authorized official title is Operations Director and has the following contact phone number (505) 238-1519.

The CLIA number assigned to this NPI record is 32D2043601 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


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
1152W00000XOptometristNEW MEXICOYes

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
193424817MEDICAIDNEW MEXICO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.