Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Mountain Eye Clinic PC

Organization Optometrist · NPI 1215927215

East Mountain Eye Clinic PC is an Optometrist in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1917 Old Route 66 Edgewood Plz Ste D-1
Edgewood, NM 87015
Phone: (505) 286-2020
Fax: (505) 286-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence NM425 (NM)

Record details

NPI number1215927215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patria Walker — President · (505) 286-2020
NPI enumeratedOctober 21, 2005
Last updated in NPPESOctober 6, 2008
Mailing addressPo Box 400, Edgewood, NM 87015-0400

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