EYE ASSOCIATES OF NEW MEXICO LTD (NPI# 1104868520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104868520 |
| Entity Type | Organization |
| Organization Name | EYE ASSOCIATES OF NEW MEXICO LTD |
| Other Organization Name | EYE ASSOCIATES OF NEW MEXICO |
| Practice Address |
806 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3657 |
| Mailing Address |
8801 Horizon Blvd Ne Suite 360 Albuquerque NM 87113-1533 |
| Practice Telephone | 5058426575 |
| Practice Fax Number | 5052130103 |
| Mailing Telephone | 5058284923 |
| Mailing Fax Number | 5052130103 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | MICHELLE ROLANDE BUTCHER (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 5058284923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | RAILROAD MEDICARE | CH4370 | 01 |
| NM | K5006 | 05 | |
| NM | 47951 | 05 | |
| AZ | 310132 | 05 | |
| CO | 94-000619 | 05 | |
| NM | RAILROAD MEDICARE | CN6728 | 01 |
| TX | 1198269-02 | 05 |
| Other Name | Type Code |
|---|---|
| Eye Associates of New Mexico | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559961 | Eye Associates of New Mexico Ltd | Optometrist | 311 Nizhoni Blvd, Gallup, NM 87301 | 2007-01-31 |
| 1689711400 | Eye Associates of New Mexico Ltd | Optometrist | 1399 Weimer Rd, Suite 300, Taos, NM 87571-6340 | 2007-01-31 |
| Street Address |
806 DR MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245225721 | William K. Wieland | Optometrist | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 | 2005-09-12 |
| 1811034739 | Eye Associates of New Mexico, Ltd. | Optometrist | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 | 2007-01-31 |
| 1225028228 | Ashok Kota Reddy | Ophthalmology | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 | 2005-10-21 |
| 1245226455 | Robert W. Reidy | Ophthalmology | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 | 2005-09-22 |
| 1821083932 | Mark T. Chiu | Ophthalmology | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007112 | Kenneth P. Goldblum, M.d., Ltd. | Ophthalmology | 26 Tierra Monte St Ne, Albuquerque, NM 87122-2102 | 2015-10-30 |
| 1568856417 | Qinyun Wang | Ophthalmology | 8801 Horizon Blvd Ne Ste 360, Albuquerque, NM 87113-1563 | 2015-03-27 |
| 1982976361 | Ernest Harry Christman | Ophthalmology | 1055 Matador Dr Se, Albuquerque, NM 87123-4222 | 2012-02-01 |
| 1881961290 | Kenneth P. Adams, D.o.,p.c | Ophthalmology | 12412 Pristine Court Northeast, Albuquerque, NM 87122-4315 | 2011-11-30 |
| 1790071140 | Philip James Sanchez | Ophthalmology | 5757 Harper Drive, Ne, Eye Associates of New Mexico, Albuquerque, NM 87109 | 2011-06-23 |
| 1871886408 | Alexander Shin Davis | Ophthalmology | 1 University of New Mexico # 105610, Albuquerque, NM 87131-0001 | 2011-05-16 |
| 1972733608 | Rachel Davis | Ophthalmology | Department of Surgery Ophthalmology, Msc10-5610 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-07-15 |
| 1942477971 | Patrick Chan | Ophthalmology | 6401 Holly Ave Ne, Albuquerque, NM 87113-2474 | 2008-05-08 |
| 1891972733 | Jerome W Bettman Jr. | Ophthalmology | 2727 San Pedro Drive, N.e., Suite 115, Albuquerque, NM 87110-3364 | 2008-01-23 |
| 1730394438 | Stephen Charles Coleman | Ophthalmology | 5051 Journal Center Blvd Ne, Albuquerque, NM 87109-5903 | 2007-05-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.