William J. Tullo, OD, LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

27OA00485801 Issued in NJ

Legal business name

WILLIAM J. TULLO, OD, LLC

Practice address

301 N Harrison St
Ste 9B
Princeton, NJ 08540-3512

Phone

(609) 921-6620

NPI assigned

Jan 6, 2009

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William J. Tullo, O.D.NPI 1457377624

Title

Owner

Phone

(609) 921-6620

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• William J Tullo, OD

  • Optometrist
  • Princeton, NJ
  • NPI 1457377624
  Medicare reassignment Care Compare group Authorized official
• Michelle Chung

  • Optometrist
  • Flushing, NY
  • NPI 1235753245

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1417193889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "address_2": "STE 9B",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-921-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "address_2": "STE 9B",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-921-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. TULLO, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "TULLO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-921-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00485801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2035216700013",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004481153",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Wieler, SLP
• Frederick Charles Wightman III, D.D.S.
• Laura M Wild, CRNA
• Sierra Ellen Wilhelm
• Katherine J Wilkinson
• Jessica A. Williams-Joseph, PHD
• Folashade Mosunmola Williams, F.N.P
• Jessie Williams
• Omonike Williams, RN
• Sharon L Williams, AUD

• Corneal and Contact Management Optometrist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.