RED MESA OPTICAL (NPI# 1629282066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629282066 |
| Entity Type | Organization |
| Organization Name | RED MESA OPTICAL |
| Practice Address |
210 W Coal Ave Gallup NM 87301-6306 |
| Practice Telephone | 5058638030 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ARIC SHAWN FRANCIS (OWNER) |
| Authorized Official Telephone | 5058638030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NM | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 659070 | 05 |
| Street Address |
210 W COAL AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558693010 | Gerald L Valdez | Technician/Technologist | 210 W Coal Ave, Gallup, NM 87301-6306 | 2010-02-09 |
| 1770731168 | South West Eyewear | Eyewear Supplier (Equipment, not the service) | 210 W Coal Ave, Gallup, NM 87301-6306 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558882910 | Norma Karram | Technician/Technologist | 1300 W Maloney Ave Ste 208, Gallup, NM 87301-3325 | 2017-07-06 |
| 1275735060 | Eyes To You, Inc | Technician/Technologist | 1109 Highway 491, Gallup, NM 87301-5382 | 2007-06-04 |
| 1528275344 | Christy Torres | Technician/Technologist | 825 Metro Ave, Gallup, NM 87301-5383 | 2007-05-17 |
| 1043439003 | Eyes To You, Inc. | Technician/Technologist | 1500 S 2nd St, Suite 6, Gallup, NM 87301-5862 | 2007-04-25 |
| 1326104787 | Susan Long | Technician/Technologist | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 | 2006-12-29 |
| 1558693010 | Gerald L Valdez | Technician/Technologist | 210 W Coal Ave, Gallup, NM 87301-6306 | 2010-02-09 |
| 1497837926 | Wal-mart Stores East, Lp | Technician/Technologist | 1650 W Maloney Ave, Gallup, NM 87301-3305 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187912 | Jacqueline Rodriguez | Technician/Technologist | 1110 Vuelta De Las Acequias, Santa Fe, NM 87507-7105 | 2020-02-24 |
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1295188050 | Vista Optical | Technician/Technologist | 102 W Octagon St, Bldg 77b, Cannon Afb, NM 88103-5207 | 2016-07-18 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1144534892 | Kathryn Branch Casey | Technician/Technologist | 1101 State Road 1, Socorro, NM 87801-5004 | 2010-08-04 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1043534209 | Ray J Montoya | Technician/Technologist | 1908 N Prince St, Clovis, NM 88101-4857 | 2010-03-17 |
| 1609019405 | Brian K Boddy | Technician/Technologist | 3530 Zafarano Dr Ste C1, Santa Fe, NM 87507-2609 | 2009-04-09 |
| Find all providers with the same taxonomy | ||||
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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.