NPIMap

Organization Active NPI

William G. Ahlfeld, O.D., L.L.C.

Doing business as William G. Ahlfeld, O.D.

  • Optometrist
  • Fort Branch, IN
National Provider Identifier
1174620306
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001924A Issued in IN
Legal business name
WILLIAM G. AHLFELD, O.D., L.L.C.
Doing business as
William G. Ahlfeld, O.D.
Practice address
800 E Mulberry St
Fort Branch, IN 47648-1644
Phone
(812) 753-4991
Fax
(812) 753-4990
NPI assigned
Sep 20, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. William Grant Ahlfeld, O.D.NPI 1295775484
Title
President
Phone
(812) 753-4991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001924A IN Primary

Addresses

Primary practice location

800 E Mulberry St
Fort Branch, IN 47648-1644

Mailing address

800 E Mulberry St
Fort Branch, IN 47648-1644
Phone (812) 753-4991

Other identifiers 1

IdentifierTypeStateIssuer
100122210AMedicaidIN

Other names 1

  • William G. Ahlfeld, O.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1174620306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MULBERRY ST",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476481644",
            "telephone_number": "812-753-4991",
            "fax_number": "812-753-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MULBERRY ST",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476481644",
            "telephone_number": "812-753-4991",
            "fax_number": "812-753-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. AHLFELD, O.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "AHLFELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-753-4991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001924A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122210A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William G. Ahlfeld, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Branch, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.