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OPTOMETRICS PC NPI 1679011191


NPI Information

NPI: 1679011191
Provider Name: OPTOMETRICS PC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
612 N PASEO DE ONATE
ESPANOLA, NM
ZIP 87532
Phone: (505) 753-7355
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OPTOMETRICS PC is a corneal and contact management optometrist in Espanola, NM. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. OPTOMETRICS PC NPI is 1679011191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 N PASEO DE ONATE
ESPANOLA, NM
ZIP 87532-963
Phone: (505) 753-7355
Fax: (505) 753-7533

The provider's authorized official is Michael H Meneakis .
The authorized official title is Owner and has the following contact phone number (505) 753-7355.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementNM307NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T74982MEDICARE UPINNEW MEXICO
250784552MEDICAIDNEW MEXICO
3M50784552MEDICAIDNEW 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: 5/5/2024

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