NPIMap

Organization Active NPI

William R. Waldron, O.D. LC

  • Optometrist
  • Yorktown, VA
National Provider Identifier
1104174150
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000144 Issued in VA
Legal business name
WILLIAM R. WALDRON, O.D. LC
Practice address
1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316
Phone
(757) 596-5666
Fax
(757) 596-9755
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. William R Waldron, O.D.NPI 1386640308
Title
Owner
Phone
(757) 596-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000144 VA Primary

Addresses

Primary practice location

1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316

Mailing address

1215 George Washington Mem Hwy Ste V
Yorktown, VA 23693-4316
Phone (757) 596-5666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1104174150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY STE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. WALDRON, O.D. LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-596-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.