TINA M. WATTERBERG M.D. – NPI #1316932817
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

TINA WATTERBERG is an ophthalmologist located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1316932817 to TINA WATTERBERG on September 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 18 years ago on Apr 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TINA WATTERBERG below.

NPI Profile for
TINA M. WATTERBERG

NPI Number
1316932817
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TINA M. WATTERBERG
Credentials
M.D.
Primary location
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Phone: (505) 888-5757 Fax: (505) 889-3589
Mailing address
8801 HORIZON BLVD NE
SUITE 360
ALBUQUERQUE, NM 87113-1533
Phone: (505) 828-4923 Fax: (505) 213-0103
Sole Proprietor
No
Updated
Identifiers

Identifiers for TINA WATTERBERG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC BS OF NMNMNM002884
OTHERRRB MEDICARE RAILROADNM180014480
MEDICAIDAZ279697
MEDICAIDNM3103
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
NM 83-152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.