Active NPI
William F. Stroud
- Optometrist
- Louisburg, NC
National Provider Identifier
1922172196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 903
- Practice address
- 505 Retail Way Ste 118
Louisburg, NC 27549-6480 - Phone
- (919) 496-1156
- NPI assigned
- Nov 20, 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 | 903 | NC | Primary |
Addresses
Primary practice location
505 Retail Way Ste 118
Louisburg, NC 27549-6480
Mailing address
1950 Old Gallows Rd 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
915 S Main St
Suite C
Laurinburg, NC 28352-4763
Phone (910) 276-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909870 | Medicaid | NC |
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 |
|---|---|---|---|
| 903 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922172196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 RETAIL WAY STE 118",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275496480",
"telephone_number": "919-496-1156"
}
],
"practiceLocations": [
{
"address_1": "915 S Main St",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Laurinburg",
"state": "NC",
"postal_code": "283524763",
"country_code": "US",
"telephone_number": "910-276-0500",
"fax_number": "910-276-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROUD",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909870",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.