Organization Active NPI

Idoc, Inc

Doing business as I Doc's

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1245763929
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IDOC, INC
Doing business as
I Doc's
Practice address
9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195
Phone
(505) 835-2667
Fax
(505) 835-2697
NPI assigned
Apr 10, 2017
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Willis Sherman MunceyNPI 1205048022
Title
Optometrist
Phone
(505) 417-5398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NM Primary

Addresses

Primary practice location

9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195

Mailing address

9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195
Phone (505) 835-2667

Other practice location 1

3811 Cerrillos Rd Ste 103
Santa Fe, NM 87507-4150
Phone (505) 989-9600

Other identifiers 1

IdentifierTypeStateIssuer
93424817MedicaidNM

Other names 1

  • I Doc's Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030000127 NM Part B Supplier - Clinic/Group Practice 7719253210 Receives reassigned benefits from 2 practitioners
Practice locations: Roswell, NM; Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

9935 Coors Bypass NW
Ste B
Albuquerque, NM 87114
Phone (505) 899-8993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1245763929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 COORS BYP NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-835-2667",
            "fax_number": "505-370-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 COORS BYP NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-835-2667",
            "fax_number": "505-835-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Cerrillos Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074150",
            "country_code": "US",
            "telephone_number": "505-989-9600",
            "fax_number": "505-982-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MUNCEY",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-417-5398"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93424817",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Doc's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.