Active NPI
William J Vanzetta, OD
- Optometrist
- Newport News, VA
National Provider Identifier
1124005707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601001475
- Practice address
- 11800 Rock Landing Dr
Newport News, VA 23606-4206 - Phone
- (757) 643-8800
- Fax
- (757) 643-8919
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601001475 | VA | Primary |
Addresses
Primary practice location
11800 Rock Landing Dr
Newport News, VA 23606-4206
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124005707 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601001475 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1124005707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 ROCK LANDING DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064206",
"telephone_number": "757-643-8800",
"fax_number": "757-643-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANZETTA",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601001475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124005707",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
- Jeffrey Allen Vandesand, MD
- Vanessa Hartman DDS & Associates, PLLC (a division of Atlantic Dental Care, PLC)
- Ivan Romano Vankust, CPT NUMBER-20-0381R2
- Joyce Vannatta
- Christopher Mark Vanraam, PHARMD
- Viola Vanessa Vaughan-Eden, PHD LCSW
- Allison Michelle Vaughan, LPC
- Charles M Vaughan, M.D.
- Christopher Deane Vaughan
- Laney Elizabeth Vaughan, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.