Active NPI
William Charles Primpas, O.D.
- Optometrist
- Walpole, MA
National Provider Identifier
1336224823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2558
- Practice address
- 550 Providence Hwy
Walpole, MA 02081-4231 - Phone
- (508) 668-6061
- NPI assigned
- Oct 25, 2006
- 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 | 2558 | MA | Primary |
Addresses
Primary practice location
550 Providence Hwy
Walpole, MA 02081-4231
Mailing address
330 Truman Hwy
Milton, MA 02186-1025
Phone (617) 333-0387
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22057 | Other | MA | UNITED HEALTHCARE |
| 0352934 | Medicaid | MA | |
| 8124847-001 | Other | MA | CIGNA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2558 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336224823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 TRUMAN HWY",
"city": "MILTON",
"state": "MA",
"postal_code": "021861025",
"telephone_number": "617-333-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PROVIDENCE HWY",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814231",
"telephone_number": "508-668-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMPAS",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "22057",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352934",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8124847-001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- 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.