William H Drusedum, O.D.
Individual provider Active NPI Optometrist · York, PA
NPI 1831161223 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1831161223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OE008393T (PA)
- Practice address
- 25 Monument Rd
Suite 297
York, PA 17403-5060 - Phone
- (717) 741-6732
- Fax
- (717) 741-6058
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sans Pareil Eyecare
Practice addresses (Care Compare)
234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080131000224 | PA | Practitioner - Optometry | 5799867602 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE008393T | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sans Pareil Eyecare | Optometrist | Current |
Accepting new patients |
| James P. Tuttle, OD | Optometrist | Past |
Accepting new patients |
Locations
234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661
2321 E Market St
York, PA 17402
Phone (717) 455-1828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE008393T | PA | Yes |
Addresses
Primary practice location
25 Monument Rd
Suite 297
York, PA 17403-5060
Mailing address
25 Monument Rd
Suite 297
York, PA 17403-5060
Phone (717) 741-6732
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.