MEDICARE: ERIN CHRISTINE BYRNE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	588	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00657821	OTHER	NM	RRB MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154571412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN CHRISTINE BYRNE O.D.

Provider Business Mailing Address
First Line	:	8801 HORIZON BLVD NE
Second Line	:	SUITE 360
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1533
Country	:	US
Telephone Number	:	505-246-2622
Fax Number	:	505-213-0103

Provider Business Practice Location Address
First Line	:	248 MILLS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4125
Country	:	US
Telephone Number	:	505-426-8866
Fax Number	:	505-426-8601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	02/09/2009

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