Active NPI
William Dale Slovak, LICENSED OPTICIAN
- Optician
- Fredericksburg, VA
National Provider Identifier
1053515536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1277
- Practice address
- 520 Spotsylvania Mall
Fredericksburg, VA 22407-1122 - Phone
- (540) 786-7660
- Fax
- (540) 786-4162
- NPI assigned
- Jun 11, 2007
- Last updated
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1277 | VA | Primary |
Addresses
Primary practice location
520 Spotsylvania Mall
Fredericksburg, VA 22407-1122
Mailing address
520 Spotsylvania Mall
Fredericksburg, VA 22407-1122
Phone (540) 786-7660
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1053515536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SPOTSYLVANIA MALL",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224071122",
"telephone_number": "540-786-7660",
"fax_number": "540-786-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SPOTSYLVANIA MALL",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224071122",
"telephone_number": "540-786-7660",
"fax_number": "540-786-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOVAK",
"first_name": "WILLIAM",
"middle_name": "DALE",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Kayla Slaughter
- Gary Michael Slavinsky, MT-BC
- Sleep Disorder Center of Fredericksburg PLC
- SLJS, Inc. (Steve Spratt Improvements)
- Geoffrey D Sloan, MD
- Shawn Renea Small Sanders, ANPBC
- Smart Prime Care Provider PLLC (Smart Prime Care)
- Samuel C Smart, DOCTOR OF OPTOMETRY
- Smile Co FXBG Dentistry, PC
- Smileville PLLC (Reform Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.