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Organization

IDOC, INC

Active
Other names
I Doc's
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIS SHERMAN MUNCEY (OPTOMETRIST)
(505) 417-5398
Entity
Organization

Contact information

Practice address
9935 COORS BYP NW STE B, ALBUQUERQUE, NM 87114-6195
(505) 835-2667
(505) 835-2697
Mailing address
9935 COORS BYP NW STE B, ALBUQUERQUE, NM 87114-6195
(505) 835-2667
(505) 370-9905

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93424817
NM
Enumeration date
04/10/2017
Last updated
04/22/2026
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