DAVITA MEDICAL GROUP
NPI 1588947485
Eyewear Supplier in Albuquerque, NM

Q: What is Optumcare New Mexico, LLC's NPI number?

The NPI number for Optumcare New Mexico, LLC is 1588947485. It was assigned to this organization in the NPPES registry on September 27, 2011. The provider is doing business as Davita Medical Group.

Q: What is Optumcare New Mexico, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since September 27, 2011

5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109(505) 262-3370(505) 262-3226 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2019, Oct 19, 2017, Mar 2, 2017 (3 updates tracked since 2017).

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About Davita Medical Group NPPES

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

DAVITA MEDICAL GROUP (NPI 1588947485) is a healthcare organization registered as an eyewear supplier in Albuquerque, New Mexico and active in the NPI registry since September 2011. The organization lists John G Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1588947485

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameOPTUMCARE NEW MEXICO, LLC

Location Address5150 JOURNAL CENTER BLVD NEAlbuquerque, NM 87109-5900

Mailing AddressPo Box 26028Albuquerque, NM 87125-6028 · (505) 262-7960

Phone(505) 262-3370

Fax(505) 262-3226

Organization SubpartNo

Authorized OfficialJohn G LiethenSecretary · (952) 205-6262

Enumeration DateSeptember 27, 2011

Last NPPES UpdateAugust 22, 20193 updates tracked since enumeration

✔ NPI 1588947485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

5150 JOURNAL CENTER BLVD NE, Albuquerque, NM 87109

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Other Names 1

Doing Business AsDavita Medical Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK R MCGINNIS MD

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