JOHN LOGAN VANKESTEREN (NPI# 1730248881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730248881 |
| Entity Type | Individual |
| Full Name | JOHN LOGAN VANKESTEREN |
| Credential | O.D. |
| Practice Address |
400 Eubank Blvd Ne Suite A Albuquerque NM 87123-2758 |
| Mailing Address |
3707 Camino Don Diego Ne Albuquerque NM 87111-3905 |
| Practice Telephone | 5052930417 |
| Practice Fax Number | 5052934761 |
| Mailing Telephone | 5052751537 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2306 | CO | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 552 | NM | Eye and Vision Services Providers |
| Street Address |
400 EUBANK BLVD NE SUITE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629016381 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 400 Eubank Blvd Ne, Albuquerque, NM 87123-2758 | 2006-06-03 |
| 1609232859 | Ifeoma Felicia Romaine | Pharmacist | 400 Eubank Blvd Ne, Albuquerque, NM 87123-2758 | 2016-01-04 |
| 1699183483 | Dennis Betdaniel | Pharmacist | 400 Eubank Blvd Ne, Albuquerque, NM 87123-2758 | 2014-07-24 |
| 1932516077 | Frank Luis Montoya Jr. | Pharmacist | 400 Eubank Blvd Ne, Albuquerque, NM 87123-2758 | 2014-07-22 |
| 1639256449 | Michelle Cohen | Optometrist | 400 Eubank Blvd Ne, Ste A, Albuquerque, NM 87123-2758 | 2006-11-01 |
| 1346267481 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 400 Eubank Blvd Ne, Albuquerque, NM 87123-2758 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 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 |
| 1386139715 | Vanessa Chavez | Optometrist | 6609 Mesa Antigua Pl Nw, Albuquerque, NM 87120-3318 | 2018-06-27 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1033587514 | Nicolette Estrada | Optometrist | 4905 San Timoteo Ave Nw, Albuquerque, NM 87114-3814 | 2015-09-14 |
| 1528443496 | Westside Eyecare | Optometrist | 5101 Coors Blvd N.w, Ste E, Albuquerque, NM 87120-1923 | 2015-07-21 |
| 1770981292 | Daniel & Max, LLC | Optometrist | 10701 Corrales Rd Nw, Suite 1b, Albuquerque, NM 87114-1087 | 2014-12-16 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87123 |
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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.