Individual provider Active NPI

William Fredrick Foos Jr., MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1821627688
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD484625 Issued in PA
Practice address
3401 Civic Center Blvd
Division of Pediatrics Ophthalmology
Philadelphia, PA 19104
Phone
(267) 590-2791
NPI assigned
Apr 3, 2020
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD484625 PA Primary

Addresses

Primary practice location

3401 Civic Center Blvd
Division of Pediatrics Ophthalmology
Philadelphia, PA 19104

Mailing address

3401 Civic Center Blvd
Division of Pediatrics Ophthalmology
Philadelphia, PA 19104
Phone (267) 590-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915001724 CO Practitioner - Ophthalmology 6901309996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children's Eye Physicians P.C.Group PAC ID 5890686158, 14 clinicians

Practice addresses (Care Compare)

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1944
Phone (303) 456-9456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD484625PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Eye Physicians P.C. Ophthalmology Current Accepting new patients
Children's Eye Physicians P.C. CurrentSince Sep 15, 2025 Accepting new patients
Children's Eye Physicians P.C. CurrentSince Sep 15, 2025 Accepting new patients

Locations

9094 E Mineral Cir
Ste 250
Centennial, CO 80112

2373 Central Park Blvd
Unit 102
Denver, CO 80238
Phone (303) 597-1650

2400 Village Vista Dr
Erie, CO 80516

4875 Ward Rd
Ste 600
Wheat Ridge, CO 80033

Interoperability endpoints

  • Direct secure messaging: wfoos19373@gwmfa.direct-ci.com
  • Direct secure messaging: william.foos.p1@direct.cepcolorado.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1821627688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF PEDIATRICS OPHTHALMOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "267-590-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF PEDIATRICS OPHTHALMOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "267-590-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOS",
        "first_name": "WILLIAM",
        "middle_name": "FREDRICK",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD484625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.