William J Wickline, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0001525TX Issued in WA

Legal business name

WILLIAM J WICKLINE, O.D., INC.

Practice address

680 W Washington St Ste E102
Sequim, WA 98382-3264

Phone

(360) 681-3937

Fax

(360) 681-2744

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

William J Wickline, O.D.

Title

Owner/President

Phone

(360) 681-3937

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1851664346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W WASHINGTON ST STE E102",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823264",
            "telephone_number": "360-681-3937",
            "fax_number": "360-681-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W WASHINGTON ST STE E102",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823264",
            "telephone_number": "360-681-3937",
            "fax_number": "360-681-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J WICKLINE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "WICKLINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-681-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD0001525TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M White, LMP
• Nerissa Whitlock, MSW, LSWAIC
• Jaelyn Wielbicki, LMHC
• Jessica D Wilcox, PTA
• William J Wickline OD Inc
• Jenifer Williams
• Katie L Williams, PH.D., LMHC
• Courtney E Wilson, APSW
• Katherine Janelle Wilson, MFT
• Steven A Wilson, MD

• Optometrist in Sequim, WA
• Providers in Sequim, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.