TERRY T MARQUARDT (NPI# 1538343355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538343355 |
| Entity Type | Organization |
| Organization Name | TERRY T MARQUARDT |
| Other Organization Name | DR. TERRY T MARQUARDT |
| Practice Address |
903 New York Ave Alamogordo NM 88310-6919 |
| Practice Telephone | 5754377783 |
| Practice Fax Number | 5754390615 |
| Mailing Telephone | 5754377783 |
| Mailing Fax Number | 5754390615 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | DR. TERRY TYRONE MARQUARDT (OWNER) |
| Authorized Official Telephone | 5754377783 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 233 | NM | Suppliers |
| Other Name | Type Code |
|---|---|
| Dr. Terry T Marquardt | Other Name - Individual/Organization |
| Street Address |
903 NEW YORK AVE |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-6919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801803044 | Terry Tyrone Marquardt | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2006-08-01 |
| 1598371833 | Veteto Vision Center, LLC | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2020-09-22 |
| 1568871309 | Mollie Veteto | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891830089 | Alamo Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1120 10th St, Alamogordo, NM 88310-6414 | 2007-02-21 |
| 1720294713 | Miyagi Island Optical Inc | Eyewear Supplier (Equipment, not the service) | 910 New York Ave, Alamogordo, NM 88310 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508955 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6500 Holly Ave Ne Ste D1d2, Albuquerque, NM 87113-2147 | 2019-06-25 |
| 1982185559 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4511 N Main St Ste A, Roswell, NM 88201-0309 | 2018-08-22 |
| 1669833166 | Casey Optical Too | Eyewear Supplier (Equipment, not the service) | 121 Eubank Blvd Ne, Suite C, Albuquerque, NM 87123-2744 | 2016-03-10 |
| 1992192652 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 551 4th St, Bldg. 227, Holloman Afb, NM 88330-8003 | 2015-04-21 |
| 1720486673 | Eye Mart Express LLC | Eyewear Supplier (Equipment, not the service) | 3050 E Lohman Ave, Suite F, Las Cruces, NM 88011-8256 | 2014-12-09 |
| 1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1740548379 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 260, Main Exchange, White Sands Missle Range, NM 88002 | 2012-05-02 |
| 1881908457 | Gang Risk Intervention Project, Incorporated | Eyewear Supplier (Equipment, not the service) | 212 E 12th St, Silver City, NM 88061-6408 | 2010-08-05 |
| 1942443825 | Precision Optical Laboratory, L.L.C. | Eyewear Supplier (Equipment, not the service) | 5115 Coors Blvd., N.w., Suite E, Albuquerque, NM 87120-1926 | 2009-04-08 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.