Individual provider Active NPI

William E McAninch, O.D.

  • Optometrist
  • Sherman Oaks, CA
National Provider Identifier
1841484649
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13227 Issued in CA
Practice address
14006 Riverside Dr
Space 274
Sherman Oaks, CA 91423-1945
Phone
(818) 461-0595
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13227 CA Primary

Addresses

Primary practice location

14006 Riverside Dr
Space 274
Sherman Oaks, CA 91423-1945

Mailing address

14006 Riverside Dr
Space 274
Sherman Oaks, CA 91423-1945
Phone (818) 461-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120719000445 TX Practitioner - Optometry 9234225400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Ridge Eye Care PA Optometrist CurrentSince Apr 28, 2016 Accepting new patients
Dr Brian Hembree & Associates Optometrists PC Optometrist PastSince Jun 20, 2010 Accepting new patients

Locations

4927 Lake Ridge Pkwy
Ste 160
Grand Prairie, TX 75052
Phone (972) 641-5900

Organizations & group practices 2

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1841484649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR",
            "address_2": "SPACE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231945",
            "telephone_number": "818-461-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 RIVERSIDE DR",
            "address_2": "SPACE 274",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231945",
            "telephone_number": "818-461-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANINCH",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.