ACCENT ON VISION, SANTA FE LLC (NPI# 1912061086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912061086 |
| Entity Type | Organization |
| Organization Name | ACCENT ON VISION, SANTA FE LLC |
| Practice Address |
1409 Luisa St Ste D Santa Fe NM 87505-7003 |
| Practice Telephone | 5059848989 |
| Practice Fax Number | 5059848892 |
| Mailing Telephone | 5059848989 |
| Mailing Fax Number | 5059848892 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | DR. DWIGHT THIBODEAUX (PRESIDENT) |
| Authorized Official Telephone | 5059848989 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM00P121 | BLUE CROSS BLUE SHIE | 01 |
| NM | NM MEDICAID | 05 |
| Street Address |
1409 LUISA ST STE D |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| 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 |
|---|---|---|---|---|
| 1245763929 | Idoc, Inc | Optometrist | 3811 Cerrillos Rd Ste 103, Ste 103, Santa Fe, NM 87507-4112 | 2017-04-10 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1134450240 | Eye Design LLC | Optometrist | 41 Monterey Rd, Santa Fe, NM 87508-8288 | 2010-01-29 |
| 1417107004 | Four Points Eye Center, PC | Optometrist | 4250 Cerrillos Rd Ste 1272, Santa Fe, NM 87507-0954 | 2008-09-19 |
| 1528254026 | Jonathan Daniel Botwin | Optometrist | 444 Saint Michaels Dr Ste A, Santa Fe, NM 87505-7674 | 2007-09-18 |
| 1518015015 | Bruce Rael | Optometrist | 3022 Cielo Ct, Ste A, Santa Fe, NM 87507 | 2007-01-08 |
| 1881771079 | Mark Alan Rasmussen | Optometrist | 1460 S Saint Francis Dr, 1460 S Saint Francis Dr, Santa Fe, NM 87505-4038 | 2006-11-01 |
| 1427152743 | Roosevelt G Brasseur | Optometrist | 4038 Painted Pony Cir, Santa Fe, NM 87507-8447 | 2006-09-08 |
| 1962516039 | Dwight Thibodeaux | Optometrist | 1409 Luisa St, Suite D, Santa Fe, NM 87505-7002 | 2006-08-18 |
| 1053324988 | Timothy Eugene Gordon | Optometrist | 5701 Herrera Dr, Santa Fe, NM 87507-2677 | 2006-08-14 |
| Find all providers in SANTA FE | ||||
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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.