Blue Whale, Inc

LBN: Blue Whale, Inc
Blue Whale, Inc is an health care organization with primary practice located at 9935 Coors Byp Nw Ste B, Albuquerque NM 87114-6195. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Blue Whale, Inc can be contacted via phone (505) 899-8993, or through Muncey, Willis S via phone (505) 899-8993.

Contact Information

Primary practice address
9935 Coors Byp Nw Ste B Albuquerque NM 87114-6195
Fax: (505) 898-8994
Website:
Authorized official contact:
Name: Muncey, Willis S Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2427 New Mexico
Eye and Vision Services Providers / Optometrist 152W00000X 640 New Mexico

Profile Details

NPI number 1487051066
LBN Legal business name Blue Whale, Inc
DBA Doing business as
Authorized official Muncey, Willis S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2014
Last updated Dec 7th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487051066 NPPES
New Mexico MEDICAID 93424817

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