David L Waterfill, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2873-035 Issued in WI

Practice address

1401 S 108TH St
West Allis, WI 53214-4012

Phone

(414) 476-0200

Fax

(414) 476-1199

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1437165701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 WEST CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144012",
            "telephone_number": "414-476-0200",
            "fax_number": "414-476-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERFILL",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2873-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION NO.",
            "identifier": "WI2873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia L Wallace, MD
• Christine M Waller, C.R.N.A.
• Charity Walsh, LPC
• Walter K T Wong MD SC
• Brittany Ward, APNP
• Shelton B Watkins, PHARM D.
• Veronica Weatherspoon, FNP-C, PMHNP-BC
• Sakirra Weaver, RN
• Abigail Weber, LPC
• Joseph Timothy Weber, M.D.

• Optometrist in West Allis, WI
• Providers in West Allis, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.