Active NPI
William Rafferty, O.D.
- Optometrist
- Winston Salem, NC
National Provider Identifier
1194888974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0956
- Practice address
- 2025 Frontis Plaza Blvd
Winston Salem, NC 27103-5663 - Phone
- (919) 620-4467
- NPI assigned
- Dec 19, 2006
- 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 | 0956 | NC | Primary |
Addresses
Primary practice location
2025 Frontis Plaza Blvd
Winston Salem, NC 27103-5663
Mailing address
4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 620-4915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909740 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1194888974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-620-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 FRONTIS PLAZA BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035663",
"telephone_number": "919-620-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "WILLIAM",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Radiant and Rooted Therapy PLLC
- Smiljka Radoja Ponjavic, MD
- Dmitri Raetki-Solntev
- Rafael Rivera, Jr., DDS, PLLC (Smile Starters)
- Rafael Rivera, Jr., DDS, PLLC (SmileStarters)
- Mikayla Jordan Rafte
- Michael Christopher Ragan, M.ED., MSN, FNP-BC
- Pooja Raghavan, M.D.
- Girish Raghunathan, M.D.
- Megan H. Ragone, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.