Active NPI
William B. Putterman, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1861499386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000083
- Practice address
- 6155 Ridge Ave
Philadelphia, PA 19128-2627 - Phone
- (215) 483-3400
- Fax
- (215) 483-7401
- NPI assigned
- Jun 30, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 | OEG000083 | PA | Primary |
Addresses
Primary practice location
6155 Ridge Ave
Philadelphia, PA 19128-2627
Mailing address
1062 Sunset Dr
Blue Bell, PA 19422-2046
Phone (215) 483-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014538050001 | Medicaid | PA | |
| 0832720000 | Other | PA | BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Contact Lenses, Inc. | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Philadelphia, PA
- NPI 1649429663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861499386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 SUNSET DR",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222046",
"telephone_number": "215-483-3400",
"fax_number": "215-483-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282627",
"telephone_number": "215-483-3400",
"fax_number": "215-483-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTTERMAN",
"first_name": "WILLIAM",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014538050001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0832720000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.