Active NPI
William C Meyer, O.D.
- Optometrist
- Norfolk, NE
National Provider Identifier
1073590352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 886
- Practice address
- 2501 Lakeridge Dr
Norfolk, NE 68701-2558 - Phone
- (402) 371-3158
- Fax
- (402) 371-3466
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 886 | NE | Primary |
Addresses
Primary practice location
2501 Lakeridge Dr
Norfolk, NE 68701-2558
Mailing address
2501 Lakeridge Dr
Norfolk, NE 68701-2558
Phone (402) 371-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36772 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47082635803 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 886 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073590352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 LAKERIDGE DR",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012558",
"telephone_number": "402-371-3158",
"fax_number": "402-371-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 LAKERIDGE DR",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012558",
"telephone_number": "402-371-3158",
"fax_number": "402-371-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36772",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47082635803",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.