Active NPI
William C Coffee, O.D.
- Optometrist
- Hope, AR
National Provider Identifier
1235120106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2043
- Practice address
- 405 W 16TH St
Hope, AR 71801-7104 - Phone
- (870) 777-3443
- Fax
- (870) 777-3266
- NPI assigned
- Oct 31, 2005
- Last updated
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2043 | AR | Primary |
Addresses
Primary practice location
405 W 16TH St
Hope, AR 71801-7104
Mailing address
PO Box 597
Hope, AR 71802-0597
Phone (870) 777-3443
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C Coffee OD | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- direct@williamccoffeeodhopear.compulinkdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Hope, AR
- NPI 1679744437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1235120106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597",
"city": "HOPE",
"state": "AR",
"postal_code": "718020597",
"telephone_number": "870-777-3443",
"fax_number": "870-777-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 16TH ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718017104",
"telephone_number": "870-777-3443",
"fax_number": "870-777-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hope, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.