Organization
EYE ASSOCIATES OF NEW MEXICO LTD
Active
Other names
Eye Associates of New Mexcio
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W REIDY M.D. (PRESIDENT)
(505) 246-2622
Entity
Organization
Contact information
Practice address
1399 WEIMER RD, SUITE 300, TAOS, NM 87571-6340
(505) 758-0621
(505) 758-0622
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103
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
03/15/2017
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