Active NPI
William Virgil McMullen, O.D.
- Optometrist
- Chandler, AZ
National Provider Identifier
1316139371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 149
- Practice address
- 5965 W Ray Rd
Suite 26
Chandler, AZ 85226-1829 - Phone
- (480) 940-3222
- Fax
- (480) 940-9946
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 14, 2007
- 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 | 149 | AZ | Primary |
Addresses
Primary practice location
5965 W Ray Rd
Suite 26
Chandler, AZ 85226-1829
Mailing address
5965 W Ray Road
Suite 26
Chandler, AZ 85226
Phone (480) 940-3222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William a Crum, O.D., P.L.C. | Optometrist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1316139371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 W RAY ROAD",
"address_2": "SUITE 26",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85226",
"telephone_number": "480-940-3222",
"fax_number": "480-940-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 W RAY RD",
"address_2": "SUITE 26",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852261829",
"telephone_number": "480-940-3222",
"fax_number": "480-940-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "WILLIAM",
"middle_name": "VIRGIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.