Active NPI
William S Waldman, OD
- Optometrist
- Thornton, CO
National Provider Identifier
1164415345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 794
- Practice address
- 550 E Thornton Pkwy
Suite 222
Thornton, CO 80229-2100 - Phone
- (303) 920-3937
- NPI assigned
- Aug 23, 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 | 794 | CO | Primary |
Addresses
Primary practice location
550 E Thornton Pkwy
Suite 222
Thornton, CO 80229-2100
Mailing address
550 E Thornton Pkwy
Suite 222
Thornton, CO 80229-2100
Phone (303) 920-3937
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 |
|---|---|---|---|
| 794 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Eyes Vision Clinic PC a Colorado Professional Corporation | Optometrist | Past | Accepting new patients |
| Eyeglass World, LLC 66 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Thornton, CO
- NPI 1568063881
-
- Eyewear Supplier
- Denver, CO
- NPI 1144376377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1164415345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E THORNTON PKWY",
"address_2": "SUITE 222",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292100",
"telephone_number": "303-920-3937",
"fax_number": "303-452-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E THORNTON PKWY",
"address_2": "SUITE 222",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292100",
"telephone_number": "303-920-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "WILLIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.