Individual provider Active NPI

William C Kadell, O.D.

  • Vision Therapy Optometrist
  • Freedom, CA
National Provider Identifier
1013150085
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
CA5159T Issued in CA
Practice address
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone
(831) 728-2020
Fax
(831) 728-4739
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X CA5159T CA Primary

Addresses

Primary practice location

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160

Mailing address

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone (831) 728-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Associates, a Medical Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1013150085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "831-728-2020",
            "fax_number": "831-728-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "831-728-2020",
            "fax_number": "831-728-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADELL",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "CA5159T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.