Willer Optometry, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILLER OPTOMETRY, INC

Doing business as

Patrick Willer

Practice address

3911 E State Route 69
Prescott, AZ 86301-6717

Phone

(928) 442-0707

NPI assigned

Jan 17, 2018

Last updated

Jan 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Willer, ODNPI 1083787030

Title

President

Phone

(928) 442-0707

Specialties & licenses 1

Addresses

Other names 1

• Patrick Willer Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Allen Willer, OD

  • Optometrist
  • Prescott, AZ
  • NPI 1083787030
  Authorized official Same address or phone

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1881102416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 E STATE ROUTE 69",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016717",
            "telephone_number": "928-442-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 E STATE ROUTE 69",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016717",
            "telephone_number": "928-442-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLER OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "WILLER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-442-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Willer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan L Wilburg-Bourne
• Quinton Wiggins Wilder, LMT
• Sondra Wilkening, MS, LPC
• Jeffrey Franklin Willard, PA-C
• Sheila Michelle Willems, O.D.
• Patrick Allen Willer, OD
• William E. Perry, MD, PC
• Williams Eyecare Group LLC
• Ashleigh Williams
• Bradley David Williams, MD, PHD

• Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.