NPI 1487051066 · live from the CMS NPI Registry
Blue Whale, INC
Optometrist in Albuquerque, NM. National Provider Identifier 1487051066, active.
NPI record
| NPI | 1487051066 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 9935 Coors Byp Nw, Ste B, Albuquerque, NM 87114 |
| Practice phone | 505-899-8993 |
| Mailing address | 9935 Coors Byp Nw Ste B, Albuquerque, NM 87114 |
| Enumerated | November 26, 2014 |
| Last updated | December 7, 2017 |
| Authorized official | Willis Muncey, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 640 (NM) |
| Optometrist primary | 152W00000X | 2427 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.