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Export Provider Record NPI 1336390558
Courtney Danelle ChavezO.D
Active
NPI Number1336390558
NPI TypeNPI-1 Individual
SpecialtyOptometrist
Provider Details
NPI1336390558
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-10-07
Last Updated2008-10-07
Mailing Address8713 Royalglo Dr. Ne
Albuquerque, NM 87122
United States
Phone: (918) 207-7080
📍 View Map
Primary Practice Address1501 San Pedro Dr Se, Albuquerque Vetrans Hospital
Albuquerque, NM 87108-5153
United States
Phone: (505) 265-1711
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristNM591
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About NPI 1336390558

Courtney Danelle Chavez O.D is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336390558. The primary specialty listed is Optometrist. The provider is located in Albuquerque, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-10-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336390558?

NPI 1336390558 belongs to Courtney Danelle Chavez O.D, a Optometrist in Albuquerque, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336390558 active?

The current status of NPI 1336390558 in the NPPES registry is Active. The record was last updated on 2008-10-07.

What specialty is NPI 1336390558?

NPI 1336390558 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336390558?

You can verify NPI 1336390558 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336390558?

The primary practice address on file for NPI 1336390558 is 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336390558 issued?

NPI 1336390558 was first issued (enumerated) on 2008-10-07. The NPPES record was last updated on 2008-10-07.

Practice Location Map

Courtney Danelle Chavez is located at 1501 San Pedro Dr Se, Albuquerque, NM. Use the map below to find directions or verify the practice location.

📍 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Courtney Danelle Chavez. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336390558. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist591NM
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162