Organization · NPI-2

Eye Associates Of New Mexico, Ltd.

Durable Medical Equipment & Medical Supplies · Albuquerque, NM

NPI number1912044348

StatusActive

Last updated in NPPESDec 20, 2024

Details

NPI: 1912044348
Entity type: Organization (NPI-2)
Legal business name: Eye Associates Of New Mexico, Ltd.
Organization subpart: No
Enumeration date: Feb 1, 2007
Certification date: Dec 20, 2024
Last updated: Dec 20, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	–	–	Yes
152W00000X	Optometrist	–	–
156FX1800X	Technician/Technologist, Optician	–	–
207W00000X	Ophthalmology	–	–

Other names

Eye Associates Of New Mexico (Doing Business As)

Practice location

5757 Harper Drive Ne
Albuquerque, NM 87109

Phone 505-888-5757 · Fax 505-889-3589

Mailing address

8801 Horizon Blvd Ne
Suite 360
Albuquerque, NM 87113-1533

Phone 505-246-2622 · Fax 505-213-0103

Authorized official

Amber Kristin Terry
Credentialing Coordinator
5052462622

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