Active NPI
William B Hirshom, OPTICIAN
- Eyewear Supplier
- Hyannis, MA
National Provider Identifier
1700113263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4216(OPTICIAN)
- Practice address
- 380 South St
Right Walkway
Hyannis, MA 02601 - Phone
- (508) 771-3889
- Fax
- (508) 771-3889
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 4216(OPTICIAN) | MA | Primary |
Addresses
Primary practice location
380 South St
Right Walkway
Hyannis, MA 02601
Mailing address
PO Box 2825
380 South St
Hyannis, MA 02601
Phone (508) 771-3889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4216(OPTICIAN) | MA | MD | Eyewear Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1700113263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2825",
"address_2": "380 SOUTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-771-3889",
"fax_number": "508-771-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SOUTH ST",
"address_2": "RIGHT WALKWAY",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-771-3889",
"fax_number": "508-771-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSHOM",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MA",
"license": "4216(OPTICIAN)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.