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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLUE WHALE, INC

NPI # 1487051066
LBN Legal business name BLUE WHALE, INC
Authorized official WILLIS MUNCEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2014
Last updated 12/07/2017 - About 9 years ago
Identifiers
NM License # 2427
NM License # 640
NM Medicaid 93424817
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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