DR. LAKITTA MONCHELLE WOODS-DWELLE (NPI# 1174786925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174786925 |
| Entity Type | Individual |
| Full Name | DR. LAKITTA MONCHELLE WOODS-DWELLE |
| Credential | O.D. |
| Practice Address |
1090 Goat Springs Road Taos NM 87571 |
| Mailing Address |
Po Box 1946 Taos NM 87571-1946 |
| Practice Telephone | 5757586949 |
| Mailing Telephone | 5757586949 |
| Mailing Fax Number | 5757515210 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002123 | VA | Eye and Vision Services Providers |
| Street Address |
1090 GOAT SPRINGS ROAD |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532119 | Brenda J Burdick | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571-1094 | 2006-06-05 |
| 1164022562 | Brock Reed | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2020-10-27 |
| 1952865776 | Regina Perryman | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1255895090 | Audrey Lujan | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1285198028 | Debra Wright | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1275000887 | Erica Diane Medina | Dental Hygienist | 1090 Goat Springs Road, Taos, NM 87571 | 2018-11-01 |
| 1235410515 | Kellie Ann P Goudreau | Physician Assistant | 1090 Goat Springs Road, Taos, NM 87571 | 2011-08-31 |
| 1962712109 | Kirsten Rogoff | Marriage & Family Therapist | 1090 Goat Springs Road, Taos, NM 87571-0174 | 2010-10-20 |
| 1689995953 | Carmine Dimartino | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571 | 2010-06-21 |
| 1689908147 | Talia R. Wood | Dietitian, Registered | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2009-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932373560 | Jane Compton O.d. | Optometrist | 710 S Santa Fe Rd Ste F, Taos, NM 87571-6062 | 2008-04-15 |
| 1164509956 | Robert D Ratzlaff | Optometrist | 1353 Paseo Del Pueblo Sur, Suite C, Taos, NM 87571-5801 | 2006-11-01 |
| 1316024185 | Robert Ratzlaff Od LLC | Optometrist | 1128-a Paseo Del Pueblo Sur, 7653 Ndcbu, Taos, NM 87571 | 2006-11-01 |
| 1306852447 | Jane Ellen Compton | Optometrist | 710 F South Santa Fe Rd, Taos, NM 87571 | 2006-07-31 |
| 1689711400 | Eye Associates of New Mexico Ltd | Optometrist | 1399 Weimer Rd, Suite 300, Taos, NM 87571-6340 | 2007-01-31 |
| 1528147865 | Realeyes Inc | Optometrist | 1353 Paseo Del Pueblo Sur, Suite C, Taos, NM 87571-5801 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942207 | Tina Nguyen | Optometrist | Highway Junction 371, Route 9, Crownpoint, NM 87313 | 2020-08-13 |
| 1598380545 | Nina Gabrielle Ballew | Optometrist | 4411 The 25 Way Ne Ste 325, Albuquerque, NM 87109-5853 | 2020-06-15 |
| 1477178259 | Amanda C Lallensack | Optometrist | 4101 Indian School Rd Ne Ste 225, Albuquerque, NM 87110-4072 | 2020-06-08 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 1780233833 | Eye Associates of New Mexico, Ltd. | Optometrist | 1817 Wellspring Ave Se Ste A, Rio Rancho, NM 87124-4956 | 2019-09-10 |
| 1891357927 | Elizabeth Aneal Dosch | Optometrist | 1415 S Valley Dr Ste 200, Las Cruces, NM 88005-3135 | 2019-06-28 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1992282206 | Jarrett Wayne Dotson | Optometrist | 7850 Jefferson St Ne Ste 160, Albuquerque, NM 87109-4314 | 2018-07-19 |
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
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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.