William Alfred Pettit III MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLIAM ALFRED PETTIT III MD

Practice address

1404 Gekeler LN
Unique Optique
La Grande, OR 97850-3368

Phone

(541) 962-6266

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William Alfred Pettit III

Title

Owner

Phone

(541) 962-1025

Specialties & licenses 1

Addresses

Other names 1

• UNIQUE OPTIQUE Doing business as

Locations

Practitioners 1

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

• Jann M Fugelseth, OPTICIAN

  • Optician
  • La Grande, OR
  • NPI 1841476017
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1114338217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 GEKELER LN",
            "address_2": "UNIQUE OPTIQUE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503368",
            "telephone_number": "541-962-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 GEKELER LN",
            "address_2": "UNIQUE OPTIQUE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503368",
            "telephone_number": "541-962-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM ALFRED PETTIT III MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-962-1025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIQUE OPTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewis W Whiting
• Gus Whittington
• Scott Alden Widener, FNP-C
• Heather Wiggins, APRN
• Daniel M Willey
• Cynthia Williams, NP
• Lynette Marie Williamson, CRM, PSS
• Lynn A Willis, NP
• June Marie Wilson, OTL
• Kristin Nicole Wilson, NP-C

• Durable Medical Equipment & Medical Supplies in La Grande, OR
• Providers in La Grande, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.