IndividualActive
Tasha Simmons
NPI 1417835620 · Technician/Technologist · Albuquerque, NM
Provider details
- NPI number
- 1417835620
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2201 San Pedro Dr Ne Ste 210
Albuquerque, NM 87110-4133
Phone: (505) 308-8342
Approximate (ZIP-level) locationGet directions
Mailing address
2201 San Pedro Dr Ne Ste 210
Albuquerque, NM 87110-4133
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.