NPIMap

Organization Active NPI

Blue Whale, Inc.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1891991543
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2427 Issued in NM
Legal business name
BLUE WHALE, INC.
Practice address
10028 Coors Blvd NW
Albuquerque, NM 87114-4393
Phone
(505) 898-7760
Fax
(505) 890-9339
NPI assigned
Jun 21, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Willis Sherman Muncey, O.D.NPI 1205048022
Title
Optometrist
Phone
(505) 898-7760

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
Optometrist 152W00000X 2427 NM Primary

Addresses

Primary practice location

10028 Coors Blvd NW
Albuquerque, NM 87114-4393

Mailing address

10028 Coors Blvd NW
Albuquerque, NM 87114-4393
Phone (505) 898-7760

National Provider Directory

National Provider Directory
Tax ID family
Blue Whale Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1891991543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144393",
            "telephone_number": "505-898-7760",
            "fax_number": "505-890-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10028 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144393",
            "telephone_number": "505-898-7760",
            "fax_number": "505-890-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WHALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-20",
        "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": "505-898-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2007; 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.