NPI 1104963040 · live from the CMS NPI Registry
Eye Associates Of New Mexico, Ltd.
Durable Medical Equipment & Medical Supplies in Los Alamos, NM. National Provider Identifier 1104963040, active.
NPI record
| NPI | 1104963040 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Durable Medical Equipment & Medical Supplies 332B00000X |
| Practice location | 1623 Central Ave, Los Alamos, NM 87544 |
| Practice phone | 505-662-5444 |
| Mailing address | 8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113 |
| Enumerated | January 31, 2007 |
| Last updated | December 20, 2024 |
| Authorized official | Amber Terry, Credentialing Coordinator |
| Other names | Eye Associates Of New Mexico |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Technician/Technologist, Optician | 156FX1800X | — |
| Ophthalmology | 207W00000X | — |
| Durable Medical Equipment & Medical Supplies primary | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.