Organization Active NPI

William R Reid OD Inc

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1144403916
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WILLIAM R REID OD INC
Practice address
937 E Main St Ste 102
Santa Maria, CA 93454-5309
Phone
(805) 922-1923
Fax
(805) 922-2395
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Dr. David P Alford, O.D.NPI 1336110956
Title
President
Phone
(805) 922-1923

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 Primary

Addresses

Primary practice location

937 E Main St Ste 102
Santa Maria, CA 93454-5309

Mailing address

937 E Main St Ste 102
Santa Maria, CA 93454-5309
Phone (805) 922-1923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050611000014 CA Part B Supplier - Clinic/Group Practice 1951345933 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

937 E Main St
Ste 102
Santa Maria, CA 93454
Phone (805) 922-1923

Practitioners & affiliated clinicians

Practitioners 2

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1144403916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST STE 102",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545309",
            "telephone_number": "805-922-1923",
            "fax_number": "805-922-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E MAIN ST STE 102",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545309",
            "telephone_number": "805-922-1923",
            "fax_number": "805-922-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R REID OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.