NPI 1396042792 · live from the CMS NPI Registry
Eyes Of Nm Family Optometry LLC
Optometrist in Los Ranchos, NM. National Provider Identifier 1396042792, active.
NPI record
| NPI | 1396042792 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 502 El Pueblo Rd Nw, Los Ranchos, NM 87114 |
| Practice phone | 505-385-0826 |
| Mailing address | 7007 Wyoming Blvd Ne, Suite C-1, Albuquerque, NM 87109 |
| Enumerated | February 21, 2011 |
| Last updated | May 11, 2020 |
| Authorized official | Tiffany Martinez, Optometrist |
| Other names | Hands & Martinez Optometry LLC; Eyes Of New Mexico Family Optomety |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Low Vision Rehabilitation | 152WL0500X | 611 (NM) |
| Optometrist, Pediatrics | 152WP0200X | 611 (NM) |
| Optometrist, Vision Therapy | 152WV0400X | 611 (NM) |
| Optometrist primary | 152W00000X | 611 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.