William J. Mallon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME78127 Issued in FL

Practice address

3500 US Highway 1
Vero Beach, FL 32960-4511

Phone

(772) 299-1404

Fax

(772) 299-1455

NPI assigned

May 6, 2006

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J. Mallon, MDGroup PAC ID 9234039116, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William J. Mallon, MD

  • Ophthalmology Physician
  • Vero Beach, FL
  • NPI 1649353582
  Medicare reassignment Care Compare group NPD Authorized official
• Globechek Enterprises, LLC

  • Ophthalmology Physician
  • Vero Beach, FL
  • NPI 1457122582
  NPD Authorized official
• Edward S. Branigan III M.D. P.a.

  • Ophthalmology Physician
  • Vero Beach, FL
  • NPI 1013958859
  NPD (past)
• William J. Mallon, MD

  • Non-Pharmacy Dispensing Site
  • Fort Pierce, FL
  • NPI 1336906221
  NPD (past)
• William J. Mallon, MD

  • Eyewear Supplier
  • Vero Beach, FL
  • NPI 1376569038

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1114976479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVERWAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632634",
            "telephone_number": "772-234-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604511",
            "telephone_number": "772-299-1404",
            "fax_number": "772-299-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 S 25th St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349474709",
            "country_code": "US",
            "telephone_number": "772-410-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLON",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME78127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viraj Makavana, DO
• Deni Malave-Huertas, MD
• Diego A Maldonado, M.D.
• Maria V Mallia
• Genevieve Brown Mallon, M.D.
• Marcus J Malone, MD
• Mana Alternative Health, LLC
• Patricia F Mandell, MA, CCC/SLP
• Maria Christina Mandina-Dimarco, PSYD
• Leonardo Mandina, M.D.

• Ophthalmology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.