NPI 1184465056 · live from the CMS NPI Registry
Drew Casey, OD
Optometrist in Albuquerque, NM. National Provider Identifier 1184465056, active.
NPI record
| NPI | 1184465056 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 9000 Menaul Blvd Ne, Albuquerque, NM 87112 |
| Practice phone | 505-219-3113 |
| Mailing address | 3114 Tess Ct Ne, Rio Rancho, NM 87144 |
| Enumerated | June 4, 2024 |
| Last updated | August 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Optometrist primary | 152W00000X | OPT-2024-0009 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.