Healthcare Provider Details

I. General information

NPI: 1356109011
Provider Name (Legal Business Name): ANDREW BOYD MURPHY OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 THE 25 WAY NE STE 325
ALBUQUERQUE NM
87109-5853
US

IV. Provider business mailing address

8801 HORIZON BLVD NE STE 360
ALBUQUERQUE NM
87113-1563
US

V. Phone/Fax

Practice location:
  • Phone: 505-823-4411
  • Fax: 505-343-6085
Mailing address:
  • Phone: 505-246-2622
  • Fax: 505-715-5334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-2025-0022
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: