Organization
EYE ASSOCIATES OF NEW MEXICO, LTD.
Active
Other names
Eye Associates of New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KRISTIN TERRY (CREDENTIALING COORDINATOR)
(505) 246-2622
Entity
Organization
Contact information
Practice address
622 W MAPLE ST, SUITE E, FARMINGTON, NM 87401-6590
(505) 325-4003
(505) 327-6140
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 246-2622
(505) 715-5334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47951
—
NM
01
—
CH4370
RAILROAD MEDICARE (RRB)
NM
01
—
CN6728
RAILROAD MEDICARE (RRB)
NM
05
—
K5006
—
NM
Enumeration date
01/31/2007
Last updated
12/20/2024
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