Individual provider Active NPI

William Jeppe

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1801832829
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001283 Issued in DE
Practice address
5301 Limestone Rd Ste 128
Wilmington, DE 19808-1253
Phone
(302) 239-1933
Fax
(302) 239-1002
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001283 DE Primary

Addresses

Primary practice location

5301 Limestone Rd Ste 128
Wilmington, DE 19808-1253

Mailing address

300 Foulk Rd Ste 1B
Wilmington, DE 19803-3889
Phone (302) 654-5693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000331 DE Practitioner - Optometry 7719162460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

2000 Pennsylvania Ave
Suite 107
Wilmington, DE 19806-2450
Phone (302) 239-1933

5301 Limestone Rd
Wilmington, DE 19808-1253
Phone (302) 239-1933

912 N Union St
Wilmington, DE 19805-5326
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001283DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Jun 25, 2001 Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

5301 Limestone Rd
Ste 223
Wilmington, DE 19808

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1801832829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOULK RD STE 1B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033889",
            "telephone_number": "302-654-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LIMESTONE RD STE 128",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081253",
            "telephone_number": "302-239-1933",
            "fax_number": "302-239-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPE",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.