ALBUQUERQUE VISION CLINIC LLC
NPI 1770640500
Optometrist in Albuquerque, NM

Active since January 02, 2007
5343 WYOMING BLVD NE, SUITE 2, ALBUQUERQUE, NM 87109(505) 332-2020(505) 856-7820 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Albuquerque Vision Clinic Llc NPPES

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

ALBUQUERQUE VISION CLINIC LLC (NPI 1770640500) is a healthcare organization registered as an optometrist in Albuquerque, New Mexico and active in the NPI registry since January 2007. The organization lists Karlyn A Gansel Ang, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1770640500
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameALBUQUERQUE VISION CLINIC LLC
Location Address5343 WYOMING BLVD NE, SUITE 2Albuquerque, NM 87109-3199
Mailing Address5343 Wyoming Blvd Ne, Suite 2Albuquerque, NM 87109-3199 · (505) 332-2020 · Fax (505) 856-7820
Fax(505) 856-7820
Organization SubpartNo
Authorized OfficialKarlyn A Gansel AngManaging Partner · (505) 332-2020
Enumeration DateJanuary 2, 2007
Last NPPES UpdateOctober 3, 2012
✔ NPI 1770640500 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 · OP2-299
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.
5343 WYOMING BLVD NE, Albuquerque, NM 87109

Other Identifiers 4

Other1578538872NM · Npi Provider Number
Other1467425769NM · Npi Provider Number
Other1619942398NM · Npi Provider Number
Other1346213154NM · Npi Provider Number

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albuquerque Vision Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20040202000211Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Albuquerque Vision Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1578538872
5343 WYOMING BLVD NE SUITE 2
Albuquerque, NM 87109
(505) 332-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1063581403
2701 CARLISLE BLVD NE STE A
Albuquerque, NM 87110
(505) 888-4474
✔ PECOS✔ Accepts Medicare3.7 mi
Optometry
NPI 1497157192
1600 UNIVERSITY BLVD NE
Albuquerque, NM 87102
(505) 272-2553
✔ PECOS5.2 mi
Optometry
NPI 1528093622
3530 ZAFARANO DR SUITE C1
Santa Fe, NM 87507
(505) 473-5100
✔ PECOS✔ Accepts Medicare46 mi
Optometry
NPI 1417981358
5221 S COULTER ST
Amarillo, TX 79119
(806) 358-3594
✔ PECOS✔ Accepts Medicare262 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Albuquerque Vision Clinic, LLC carries, from the Medicare DMEPOS supplier directory.

Albuquerque Vision Clinic, LLC

DMEPOS supplier · Albuquerque, NM
✔

Accepts Medicare assignment

Albuquerque Vision Clinic, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20591573
Medicare Participant SinceJanuary 1, 2004
Supplier Location5343 Wyoming Blvd NE Ste 2Albuquerque, NM 87109
Supplier Specialties
Optometrist

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Albuquerque Vision Clinic LLC's NPI number?

The NPI number for Albuquerque Vision Clinic LLC is 1770640500. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Albuquerque Vision Clinic LLC located?

Albuquerque Vision Clinic LLC is located at 5343 Wyoming Blvd NE Suite 2, Albuquerque, NM 87109. The listed phone number is (505) 332-2020.

What is Albuquerque Vision Clinic LLC's specialty?

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

Is Albuquerque Vision Clinic LLC enrolled in Medicare?

Yes. Albuquerque Vision Clinic LLC is registered in the Medicare PECOS enrollment system.

When is Albuquerque Vision Clinic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Albuquerque Vision Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Albuquerque Vision Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Albuquerque Vision Clinic LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Albuquerque Vision Clinic, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Albuquerque Vision Clinic LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Albuquerque Vision Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Albuquerque Vision Clinic LLC was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.