NPI 1891991543 · live from the CMS NPI Registry
Blue Whale, INC.
Optometrist in Albuquerque, NM. National Provider Identifier 1891991543, active.
NPI record
| NPI | 1891991543 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 10028 Coors Blvd Nw, Albuquerque, NM 87114 |
| Practice phone | 505-898-7760 |
| Enumerated | June 21, 2007 |
| Last updated | July 20, 2007 |
| Authorized official | Willis Muncey, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2427 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.