Organization
EYE ASSOCIATES OF NEW MEXICO LTD
Active
Other names
Eye Associates of New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R. BUTCHER (CREDENTIALING ADMINISTRATOR)
(505) 828-4923
Entity
Organization
Contact information
Practice address
4411 THE 25 WAY NE STE 325, ALBUQUERQUE, NM 87109-5853
(505) 823-4411
(505) 343-6085
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00047951
—
NM
05
—
000K5006
—
NM
01
—
CH4370
RAILROAD MEDICARE
NM
01
—
CN6728
RAILROAD MEDICARE
NM
Enumeration date
02/02/2024
Last updated
10/22/2024
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