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1295872141

NPI Code Detail

MEDICARE: EYE ASSOCIATES OF NEW MEXICO, LTD.

MEDICARE: EYE ASSOCIATES OF NEW MEXICO, LTD.

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
2	156FX1800X	Optician
3	207W00000X	Ophthalmology Physician
4	332B00000X	Durable Medical Equipment & Medical Supplies

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH4370	OTHER	NM	RAILROAD MEDICARE (RRB)
2	CN6728	OTHER	NM	RAILROAD MEDICARE (RRB)

Other Identifiers

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

General Provider Information

NPI Number	:	1295872141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE ASSOCIATES OF NEW MEXICO, LTD.

Provider Business Mailing Address
First Line	:	8801 HORIZON BLVD NE STE 360
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1563
Country	:	US
Telephone Number	:	505-246-2622
Fax Number	:	505-715-5334

Provider Business Practice Location Address
First Line	:	2947 RODEO PARK DR E
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-6303
Country	:	US
Telephone Number	:	505-983-6613
Fax Number	:	505-986-9984

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	AMBER KRISTIN TERRY
Credential	:
Telephone Number	:	505-246-2622

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	12/20/2024

Similar Medicare Providers

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Practice Location Address:

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1265422265 — KRISTIN E. REIDY D.O.
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1801886783 — RENNY H. LEVY M.D.
Practice Location Address:

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87505-6303

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1215992490 — DR. BETTY R KLEIN MD
Practice Location Address:

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1255373676 — EYE SURGERY CENTERS OF NEW MEXICO, LLC
Practice Location Address:

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Directions to “EYE ASSOCIATES OF NEW MEXICO, LTD. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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