Active NPI
William Joseph McDonald Jr., OD
- Optometrist
- Bakersfield, CA
National Provider Identifier
1841243508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5181T
- Practice address
- 5500 Ming Ave
Suite 175
Bakersfield, CA 93309-4623 - Phone
- (661) 832-8990
- Fax
- (661) 832-9011
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5181T | CA | Primary |
Addresses
Primary practice location
5500 Ming Ave
Suite 175
Bakersfield, CA 93309-4623
Mailing address
5500 Ming Ave
Suite 175
Bakersfield, CA 93309-4623
Phone (661) 832-8990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0051810 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5181T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1841243508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE",
"address_2": "SUITE 175",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094623",
"telephone_number": "661-832-8990",
"fax_number": "661-832-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MING AVE",
"address_2": "SUITE 175",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094623",
"telephone_number": "661-832-8990",
"fax_number": "661-832-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5181T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0051810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.