1. Home
  2. Directory
  3. New Mexico
  4. Edgewood
  5. Optometrist
  6. NPI Profile

EAST MOUNTAIN EYE CLINIC PC
NPI 1215927215
Optometrist in Edgewood, NM

Active since October 21, 2005
1917 OLD ROUTE 66, EDGEWOOD PLAZA, SUITE D-1, EDGEWOOD, NM 87015(505) 286-2020(505) 286-2244 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Mountain Eye Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST MOUNTAIN EYE CLINIC PC (NPI 1215927215) is a healthcare organization registered as an optometrist in Edgewood, New Mexico and active in the NPI registry since October 2005. The organization lists Patria Dulce Walker, President, as its authorized official.

NPPES Registry Identity

NPI1215927215
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEAST MOUNTAIN EYE CLINIC PC
Location Address1917 OLD ROUTE 66, EDGEWOOD PLAZA, SUITE D-1Edgewood, NM 87015
Mailing AddressPo Box 400Edgewood, NM 87015-0400 · (505) 286-2020 · Fax (505) 286-2244
Phone(505) 286-2020
Fax(505) 286-2244
Organization SubpartNo
Authorized OfficialPatria Dulce WalkerPresident · (505) 286-2020
Enumeration DateOctober 21, 2005
Last NPPES UpdateOctober 6, 2008
✔ NPI 1215927215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NM · NM425
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1917 OLD ROUTE 66, EDGEWOOD PLAZA, Edgewood, NM 87015
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC1083450001NM
MedicaidP1928NM
Medicare UPINU56695NM
Medicare ID-Type UnspecifiedXXXXNM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Mountain Eye Clinic PC's NPI number?

The NPI number for East Mountain Eye Clinic PC is 1215927215. It was assigned to this organization in the NPPES registry on October 21, 2005.

Where is East Mountain Eye Clinic PC located?

East Mountain Eye Clinic PC is located at 1917 Old Route 66, Edgewood Plaza Suite D-1, Edgewood, NM 87015. The listed phone number is (505) 286-2020.

What is East Mountain Eye Clinic PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for East Mountain Eye Clinic PC was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.