Healthcare Provider Details

I. General information

NPI: 1821941634
Provider Name (Legal Business Name): MOBILITYCARES NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 MATADOR ST SE
RIO RANCHO NM
87124-5103
US

IV. Provider business mailing address

13243 LEWIS RANCH RD
CALDWELL ID
83607-1029
US

V. Phone/Fax

Practice location:
  • Phone: 208-995-1122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CAMERON HORCH
Title or Position: PARTNER
Credential: OD
Phone: 208-995-1122