William a. Olivos, OD, PA

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

OPC 3500 Issued in FL

Legal business name

WILLIAM A. OLIVOS, OD, PA

Practice address

4976 S 25TH St
Fort Pierce, FL 34981-4923

Phone

(772) 460-8487

Fax

(772) 460-0225

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William A Olivos, ODNPI 1326017658

Title

Owner/President

Phone

(772) 460-8487

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William A Olivos, OD

  • Optometrist
  • Fort Pierce, FL
  • NPI 1326017658
  Medicare reassignment Care Compare group NPD Authorized official
• Alexa Sophia Lora, OD

  • Optometrist
  • Fort Pierce, FL
  • NPI 1023904380
  Medicare reassignment Care Compare group NPD
• Regina Louise Manes, O.D.

  • Vision Therapy Optometrist
  • West Palm Beach, FL
  • NPI 1467445312
  Medicare reassignment Care Compare group NPD
• Nicole Kelly Cheyne, D.C.

  • Chiropractor
  • Fort Pierce, FL
  • NPI 1114004314
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1265530703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815009",
            "telephone_number": "772-460-8487",
            "fax_number": "772-460-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814923",
            "telephone_number": "772-460-8487",
            "fax_number": "772-460-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. OLIVOS, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "OLIVOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-460-8487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC 3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620569100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO- DMERC",
            "identifier": "5718990001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Wilkes, COTA/L
• Shanna Wilkins
• John S Wilks-Young Jr.
• Nicole Wilks
• Wayne Anthony Wilks
• William B King MD PA
• William H Hood MD PA
• William J. Mallon, MD (Center for Advanced Eye Care)
• Williams Receptive P.a. (ADHD Advisor)
• Alisha Valtrisse Williams, MD

• Low Vision Rehabilitation Optometrist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Low Vision Rehabilitation Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.