Healthcare Provider Details

I. General information

NPI: 1487562666
Provider Name (Legal Business Name): OPTOMEYES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11943 HIGHWAY 14 N
CEDAR CREST NM
87008-9404
US

IV. Provider business mailing address

PO BOX 1275
CEDAR CREST NM
87008-1275
US

V. Phone/Fax

Practice location:
  • Phone: 505-263-8192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN BERRY
Title or Position: PRESIDENT
Credential:
Phone: 505-263-8192