William Mitchell Powell, DOCTOR OF OPTOMETRY

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000447 Issued in VA

Practice address

230 Butler Rd
Fredericksburg, VA 22405

Phone

(540) 373-3021

Fax

(540) 373-5565

NPI assigned

Sep 5, 2006

Last updated

Dec 18, 2013By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1134137086
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1659473023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BUTLER RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22405",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BUTLER RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22405",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIAM",
        "middle_name": "MITCHELL",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "061203",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203915",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED/BLUEVIEW",
            "identifier": "A01995",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE MDIPA MAMS",
            "identifier": "210948",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE MDIPA MAMS",
            "identifier": "210946",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Poudrier, CSAC SUPERVISEE
• Shelton Piland Poulter, MSW, LCSW
• Amanda Powell, COTA/L
• Meghan Elise Powell, D.O.
• Theresa Powell, FNP-C
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Catherine Jill Powers, COTA
• Kristen Powlas
• Ashok Joshwa Prasad, M.D.
• Pooja Railan Prasad, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.