SOLE COMFORT SHOES, INC. (NPI# 1396811147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396811147 |
| Entity Type | Organization |
| Organization Name | SOLE COMFORT SHOES, INC. |
| Practice Address |
11200 Montgomery Blvd Ne #6 Albuquerque NM 87111-2677 |
| Practice Telephone | 5052961645 |
| Practice Fax Number | 5052961647 |
| Mailing Telephone | 5052961645 |
| Mailing Fax Number | 5052961647 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARGARET LUCAS-SWISHER (PRESIDENT) |
| Authorized Official Telephone | 5052961645 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS PROVIDER ID NUMBER | 76722 | 01 |
| Street Address |
11200 MONTGOMERY BLVD NE #6 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285641183 | Walgreen Co | Pharmacy | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2006-08-02 |
| 1326564113 | Heather Cho | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2017-08-14 |
| 1841714540 | Eric David Galves | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2017-08-03 |
| 1265840573 | Tran Dinh | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2014-07-30 |
| 1114369428 | Ryan Anthony Bergin | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2013-07-28 |
| 1578843868 | Jonathan Arenas Rustia | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2011-08-18 |
| 1326371238 | David Lowe | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2009-09-09 |
| 1558694752 | Siwhoung Khou | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2009-09-08 |
| 1497088678 | Kristy Hoa Pham | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2009-09-06 |
| 1760614812 | Daniel John Duren | Pharmacist | 11200 Montgomery Blvd Ne, Albuquerque, NM 87111-2677 | 2009-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347358 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se Ste C, Albuquerque, NM 87108-2939 | 2019-03-27 |
| 1831653831 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 4824 Mcmahon Blvd Nw Ste 112, Albuquerque, NM 87114-5412 | 2019-01-24 |
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1548679897 | Functional Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5111 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2672 | 2014-08-11 |
| 1104187855 | Lower Extremity International LLC | Prosthetic/Orthotic Supplier | 9428 Lexington Ave Ne Suite E, Albuquerque, NM 87112-1375 | 2012-05-30 |
| 1639488588 | Estetica De Ella Salon (cranial Prosthesis) | Prosthetic/Orthotic Supplier | 2510 San Mateo Pl Ne, Albuquerque, NM 87110-4064 | 2010-09-27 |
| 1528276318 | Albuquerque Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 4909 Ellison St Ne, Suite A, Albuquerque, NM 87109-4331 | 2007-05-18 |
| 1740236819 | Active Life Inc | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2006-05-26 |
| 1902883473 | Prosthetic Orthotic Specialists, Inc | Prosthetic/Orthotic Supplier | 5095 Ellison St Ne, Albuquerque, NM 87109-4326 | 2005-12-27 |
| 1891354197 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2019-06-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.