NPIMap

Organization Active NPI

William R. Waldron

  • Optometrist
  • Yorktown, VA
National Provider Identifier
1396937983
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000144 Issued in VA
Legal business name
WILLIAM R. WALDRON
Practice address
1215 George Washington Mem Hwy
Suite V
Yorktown, VA 23693-4316
Phone
(757) 596-5666
Fax
(757) 596-9755
NPI assigned
Aug 16, 2007
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Dr. William R Waldron, O.D.NPI 1386640308
Title
Owner
Phone
(757) 596-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000144 VA Primary

Addresses

Primary practice location

1215 George Washington Mem Hwy
Suite V
Yorktown, VA 23693-4316

Mailing address

1215 George Washington Mem Hwy
Suite V
Yorktown, VA 23693-4316
Phone (757) 596-5666

Other identifiers 3

IdentifierTypeStateIssuer
009236651MedicaidVA
WA917852OtherVADAVIS
10997OtherVAAVESIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1396937983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY",
            "address_2": "SUITE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "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": "1215 GEORGE WASHINGTON MEM HWY",
            "address_2": "SUITE V",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-596-5666",
            "fax_number": "757-596-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. WALDRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-596-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009236651",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "WA917852",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "10997",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.