Samuel M Wapner, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002536 Issued in MI

Practice address

22 N Telegraph Rd
Pontiac, MI 48341-1166

Phone

(248) 332-2895

Fax

(248) 332-2896

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1104954924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411166",
            "telephone_number": "248-332-2895",
            "fax_number": "248-332-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411166",
            "telephone_number": "248-332-2895",
            "fax_number": "248-332-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAPNER",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "900F36693",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945105462",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walkers Home Care
• Icelinn Perdue Wallace
• Joel Walthall, D.O.
• Huijuan Wang, MD
• Zehn Wani, MD
• Lynnelle Ward, LMSW
• Taylor Ward
• William S Ward, M.D.
• Chelsea Warner, LLMSW
• Halresa Denise Warren

• Optometrist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.