William V Chantaduly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA11112T Issued in CA

Practice address

1463 Haight St
San Francisco, CA 94117-2910

Phone

(415) 626-8686

Fax

(415) 626-8799

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306986492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 HAIGHT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172910",
            "telephone_number": "415-626-8686",
            "fax_number": "415-626-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 HAIGHT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172910",
            "telephone_number": "415-626-8686",
            "fax_number": "415-626-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTADULY",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11112T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0111120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley K. W. Chang, DDS
• Wileen Chang, AU.D
• Yun Cheong Chang, MD
• Pawan Chansaenroj, M.D.
• Peter Chansky, MD
• Christine Marie Chanteloup, M.F.T. INTERN
• Sara Chantit
• Chantra Chao, R.N., N.P., A.C.N.P.
• Cyrus Cyrus Chao
• Dyann M Chao, M.D.

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.