National Provider Identifier Database

BLUE WHALE INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

BLUE WHALE, INC
9935 COORS BYP NW
STE B
ALBUQUERQUE, NM87114-6195
Phone: 505-899-8993
Fax: 505-898-8994
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BLUE WHALE, INC

NPI Number 1487051066
Legal business name
LBN
BLUE WHALE, INC
Authorized official WILLIS MUNCEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/26/2014
Last updated 12/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 2427
  • NM License #: 640
  • NM Medicaid: 93424817

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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