Active NPI
Donald Earl Willard Jr., M.D.
- Ophthalmology Physician
- Easton, PA
National Provider Identifier
1932210374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD016372E
- Practice address
- 1901 Hay Ter
Easton, PA 18042-4650 - Phone
- (610) 253-9675
- Fax
- (610) 253-4533
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD016372E | PA | Primary |
Addresses
Primary practice location
1901 Hay Ter
Easton, PA 18042-4650
Mailing address
1901 Hay Ter
Easton, PA 18042-4650
Phone (610) 253-9675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522998 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932210374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 HAY TER",
"city": "EASTON",
"state": "PA",
"postal_code": "180424650",
"telephone_number": "610-253-9675",
"fax_number": "610-253-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HAY TER",
"city": "EASTON",
"state": "PA",
"postal_code": "180424650",
"telephone_number": "610-253-9675",
"fax_number": "610-253-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "DONALD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD016372E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522998",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.