William F Hoyer III, OD – Optometrist

Key facts

NPI: 1477588051
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 6461T (CA)
Practice address: 112 W 1St St
Cloverdale, CA 95425-3607
Phone: (707) 894-3936
Fax: (707) 894-3998
NPI assigned: Jul 11, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Thomas M. Lucas IV, O.D., Inc. Optometrist · Ukiah, CA · NPI 1760115513

NPD (past) OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Thomas M. Lucas IV, O.D., Inc.	Optometrist	Past since Jul 10, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	6461T	CA	Yes

Addresses

Primary practice location

112 W 1St St
Cloverdale, CA 95425-3607

Mailing address

112 W 1St St
Cloverdale, CA 95425-3607
Phone (707) 894-3936

Other identifiers

Identifier	Type	State	Issuer
SD0064610	Medicaid	CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477588051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253607",
            "telephone_number": "707-894-3936",
            "fax_number": "707-894-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253607",
            "telephone_number": "707-894-3936",
            "fax_number": "707-894-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYER",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6461T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloverdale, CA

All providers in Cloverdale, CA · Optometrist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.