William R Waldron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000144 Issued in VA

Practice address

1215V George Washington Memorial Hwy
Yorktown, VA 23693

Phone

(757) 596-5666

Fax

(757) 596-9755

NPI assigned

Jun 23, 2005

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 7

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peninsula Eye Care, LLC

  • Optometrist
  • Yorktown, VA
  • NPI 1710420856
  Medicare reassignment NPD
• William R. Waldron, O.D. LC

  • Optometrist
  • Yorktown, VA
  • NPI 1104174150
  NPD (past) Authorized official
• N2 Eyes Comprehensive Optometry Inc

  • Optometrist
  • Norfolk, VA
  • NPI 1780782011
  NPD (past)
• N2 Eyes Optometry LLC

  dba N2 Eyes Optometry

  • Optometrist
  • Newport News, VA
  • NPI 1659919439
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1386640308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215V GEORGE WASHINGTON MEMORIAL HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215V GEORGE WASHINGTON MEMORIAL HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEALTHCARE",
            "identifier": "2149623",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "10997",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "381285",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "56056",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "320-621",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235281",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "WA917852",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Institute of Lung Diseases LLC
• Khanh Vo, PHARMD
• Haley Wagonblott
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3265)
• Wal-Mart Stores East, LP (Vision Center 30-3265)
• Walgreen Co (Walgreens #10453)
• Walgreen Co (Walgreen# 09811)
• Alexandra V Walker
• Ynez Walker, RBT
• Suzanne Marie Wall, N.P.

• Optometrist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.