Marisa M Kim (NPI# 1629381512, PAC ID# 7113041187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1629381512 |
PAC ID by PECOS | 7113041187 |
Professional Enrollment ID | I20170923000051 |
Full Name | Marisa M Kim |
Organization Legal Name | EYE ASSOCIATES OF NEW MEXICO LTD |
Address |
311 E Nizhoni Blvd Gallup NM 87301-5791 |
Phone Number | 5057222268 |
Gender | F |
Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
Graduation Year | 2010 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 4486643616 |
Number of Group Practice Members | 56 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320038 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
Address | Phone | Organization |
---|---|---|
311 E Nizhoni Blvd, Gallup, NM 87301-5791 | 5057222268 | EYE ASSOCIATES OF NEW MEXICO LTD |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 6% | |
MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 18% |
Organization Legal Name | EYE ASSOCIATES OF NEW MEXICO LTD |
Physicians | 58 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew D Mcgraw | Optometry | Eye Associates of New Mexico Ltd | 5200 Eubank Blvd Ne, Suite A 4, Albuquerque, NM 87111-1760 |
Jason C. Koschmeder | Optometry | Eye Associates of New Mexico Ltd | 1603 Main St Sw, Suite B C, Los Lunas, NM 87031-8766 |
Rebekah C. Allen | Ophthalmology | Eye Associates of New Mexico Ltd | 5757 Harper Dr Ne, Albuquerque, NM 87109-3566 |
Mahlon R Soloway | Ophthalmology | Eye Associates of New Mexico Ltd | 2947 Rodeo Park E, Santa Fe, NM 87505-6303 |
Erin C Byrne | Optometry | Eye Associates of New Mexico Ltd | 1740 Grande Blvd Se, Suite B, Rio Rancho, NM 87124-0300 |
Richard J Sidd | Ophthalmology | Eye Associates of New Mexico Ltd | 1606 Se Main St, Roswell, NM 88203-5411 |
Frank Durso | Ophthalmology | Eye Associates of New Mexico Ltd | 806 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3657 |
Joseph H Johnson | Optometry | Eye Associates of New Mexico Ltd | 5757 Harper Dr Ne, Albuquerque, NM 87109-3566 |
Lauren E Bobick | Optometry | Eye Associates of New Mexico Ltd | 5757 Harper Dr Ne, Albuquerque, NM 87109-3566 |
Charles Chiang | Ophthalmology | Eye Associates of New Mexico Ltd | 5757 Harper Dr Ne, Albuquerque, NM 87109-3566 |
Street Address |
311 E NIZHONI BLVD |
City | GALLUP |
State | NM |
Zip | 87301-5791 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael W Keleher | Nurse Practitioner | Modern Vascular - Navajo LLC | 1580 Hwy 264, Suite B, Gallup, NM 87301-3302 |
Lynn S.b. Torres | Physical Therapy | Therapy Mobz LLC | 106 Boardman Dr, Gallup, NM 87301-4801 |
Jeremias Torres | Physical Medicine and Rehabilitation | Therapy Mobz LLC | 106 Boardman Dr, Gallup, NM 87301-4801 |
Anandan Swaminathan | Cardiovascular Disease (cardiology) | 2028 E Aztec Ave, Gallup, NM 87301-4804 | |
Bonnie Baxter | Nurse Practitioner | Rmchcs Urgent Care, LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
Floyd G Bodden | Physician Assistant | Rmchcs Urgent Care, LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
Sherry Lee Young | Nurse Practitioner | Rmchcs Urgent Care LLC | 520 Nm Hwy 564, Gallup, NM 87301-4873 |
Anthony Lionel Arviso | Physical Therapy | 1900 E Hwy 66, Suite 1, Gallup, NM 87301-4883 | |
David C Mckenzie | Family Medicine | 1808 E Aztec Ave, Suite 6, Gallup, NM 87301-4946 | |
Lawrence A Decker | Physician Assistant | Gallup Quick Clinic PC | 1850 E Hwy 66, Gallup, NM 87301-4955 |
Find all physicians in zip 87301 |
City | GALLUP |
Zip Code | 87301 |
Specialty | OPTOMETRY |
City + Specialty | GALLUP + OPTOMETRY |
Please comment or provide details below to improve the information on Marisa M Kim.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.