Individual provider Active NPI

William A. Cole, O.D.

  • Optometrist
  • Lake City, FL
National Provider Identifier
1093867236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3103 Issued in FL
Practice address
2133 W US Highway 90
Suite 170
Lake City, FL 32055-4705
Phone
(386) 755-2400
Fax
(386) 755-2400
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3103 FL Primary

Addresses

Primary practice location

2133 W US Highway 90
Suite 170
Lake City, FL 32055-4705

Mailing address

PO Box 226
High Springs, FL 32655-0226
Phone (386) 454-1687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000369 FL Practitioner - Optometry 6608049747 Practice locations: Lake City, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 NW Commons Loop
Suite 105
Lake City, FL 32005
Phone (386) 755-2400

295 NW Commons Loop
Suite 105
Lake City, FL 32055-7709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Optical Co Inc Past Accepting new patients
Lake City Vision PA Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093867236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326550226",
            "telephone_number": "386-454-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W US HIGHWAY 90",
            "address_2": "SUITE 170",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554705",
            "telephone_number": "386-755-2400",
            "fax_number": "386-755-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.