Active NPI
William R Reid, O.D.
- Optometrist
- Santa Maria, CA
National Provider Identifier
1770555484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5096T
- Practice address
- 937 E Main St
Suite #102
Santa Maria, CA 93454-5323 - Phone
- (805) 922-1923
- Fax
- (805) 922-2395
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5096T | CA | Primary |
Addresses
Primary practice location
937 E Main St
Suite #102
Santa Maria, CA 93454-5323
Mailing address
937 E Main St
Suite #102
Santa Maria, CA 93454-5323
Phone (805) 922-1923
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 |
|---|---|---|---|
| 5096T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R Reid OD Inc | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Santa Maria, CA
- NPI 1144403916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1770555484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 E MAIN ST",
"address_2": "SUITE #102",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545323",
"telephone_number": "805-922-1923",
"fax_number": "805-922-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 E MAIN ST",
"address_2": "SUITE #102",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545323",
"telephone_number": "805-922-1923",
"fax_number": "805-922-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5096T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.