Willis Sherman Muncey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2427 Issued in NM

Practice address

9935 Coors Bypass NW
Suite B
Albuquerque, NM 87114-6195

Phone

(505) 899-8993

Fax

(505) 898-8994

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idoc, Inc

  • Optometrist
  • Albuquerque, NM
  • NPI 1245763929
  Medicare reassignment NPD Authorized official
• Blue Whale, Inc.

  • Optometrist
  • Albuquerque, NM
  • NPI 1891991543
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1205048022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 COORS BYPASS NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-899-8993",
            "fax_number": "505-899-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 COORS BYPASS NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-899-8993",
            "fax_number": "505-898-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCEY",
        "first_name": "WILLIS",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Mullins, PHARM.D.
• Steven James Mulryan, RPH
• Maureen Mulvany, CNP
• Brian R Mumford, MD
• Beatrice Mumm, MD
• Mona A. Munden, APRN, FNP-BC
• Ben Muneta, M.D.
• Maria Gloria Munguia Wellman, LISW
• John Raymond Munholland, CFNP
• David Muniz

• Optometrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.