William Drost Altig, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3438TG Issued in TX

Legal business name

WILLIAM DROST ALTIG, O.D., P.C.

Doing business as

Altig Optical

Practice address

3451 Western Center Blvd
Fort Worth, TX 76137

Phone

(817) 847-0030

Fax

(817) 847-1478

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Drost Altig, ODNPI 1538251285

Title

Owner

Phone

(817) 847-0030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Altig Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• William Drost Altig, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1538251285
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Reynolds, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1093374068
  Medicare reassignment Care Compare group NPD
• Raley Nicole Gray, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1023907060
  Medicare reassignment NPD
• Neha Patel, O.D.

  • Optometrist
  • Frisco, TX
  • NPI 1821471095
  Medicare reassignment NPD
• Karen Nguyen

  • Optometrist
  • Fort Worth, TX
  • NPI 1831014505
  NPD (past)
• Lori Leigh Russo, O.D.

  • Optometrist
  • Granbury, TX
  • NPI 1700971637
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1982852760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 WESTERN CENTER BOULEVARD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371937",
            "telephone_number": "817-847-0030",
            "fax_number": "817-847-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-847-0030",
            "fax_number": "817-847-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DROST ALTIG, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "ALTIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DROST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-847-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3438TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192262-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TX",
            "identifier": "00E14M",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altig Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altig Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Willcutts, MD
• Kenneth Sean Willeford, ATC, LAT
• Christina Willens, PTA
• Leah Willett, DC
• William C Bridges MD & Associates
• William F Cothern, D.O., P.a. (Dermatology & Laser Center of Fort Worth)
• William F. Cothern,D.O.,P.a.
• William G Paulus DDS Ms Inc
• William G. Coleman, M.D.,P.a.
• William J. Van Wyk M.D., P.a.

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.