Dr. Willis Muncey LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

427 Issued in NM

Legal business name

DR. WILLIS MUNCEY LLC

Practice address

10028 Coors Blvd NW Ste B
Albuquerque, NM 87114-4393

Phone

(505) 898-7760

Fax

(505) 999-1429

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Willis S Muncey, OD

Title

Doctor

Phone

(505) 898-7760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1871740126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 COORS BLVD. NW",
            "address_2": "STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-898-7760",
            "fax_number": "505-999-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 COORS BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144393",
            "telephone_number": "505-898-7760",
            "fax_number": "505-999-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIS MUNCEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MUNCEY",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-898-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.