Individual provider Active NPI

William Louis Porfilio, MD

  • Ophthalmology Physician
  • Burlington, NC
National Provider Identifier
1285836288
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200700790 Issued in NC
Practice address
1016 Kirkpatrick Road
Burlington, NC 27215-9714
Phone
(336) 228-0254
Fax
(336) 584-0101
NPI assigned
Jun 1, 2007
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200700790 NC Primary

Addresses

Primary practice location

1016 Kirkpatrick Road
Burlington, NC 27215-9714

Mailing address

1016 Kirkpatrick Road
Burlington, NC 27215-9714
Phone (336) 228-0254

Other identifiers 1

IdentifierTypeStateIssuer
5906899MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000171 NC Practitioner - Ophthalmology 4486747755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Eye Care PAGroup PAC ID 6103722699, 12 clinicians

Practice addresses (Care Compare)

1016 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 228-0254

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200700790NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Eye Care, PA Ophthalmology CurrentSince Jul 2, 2007 Accepting new patients
Alamance Eye Care, PA Ophthalmology Past Accepting new patients

Locations

1016 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 228-0254

3344 S Church St
Burlington, NC 27215
Phone (336) 395-8233

102 Medical Park Dr
Ste B
Mebane, NC 27302
Phone (919) 304-3937

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1285836288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 KIRKPATRICK ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-228-0254",
            "fax_number": "336-584-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 KIRKPATRICK ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-228-0254",
            "fax_number": "336-584-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORFILIO",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200700790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906899",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.