National Provider Identifier
William John Waldron, OD
William John Waldron, OD is listed in the NPPES registry with a primary specialty of Optometrist in Grand Island, NY and a listed phone number of (716) 773-7653.
Profile Overview
- NPI
- 1396740312
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 16, 2005
- Last Updated
- August 27, 2019
Practice Location
- 2099 Grand Island Blvd
- Ste A
- Grand Island, NY 14072-2169
Phone: (716) 773-7653
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1396740312
- Entity Type
- Individual
- Last Name
- Waldron
- First Name
- William
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- OD
- Mailing Street Address
- 2099 Grand Island Blvd
- Mailing Address Line 2
- Ste A
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2169
- Mailing Country
- US
- Mailing Phone
- (716) 773-7653
- Mailing Fax
- (716) 773-3187
- Practice Street Address
- 2099 Grand Island Blvd
- Practice Address Line 2
- Ste A
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-2169
- Practice Country
- US
- Practice Phone
- (716) 773-7653
- Practice Fax
- (716) 773-3187
- Enumeration Date
- June 16, 2005
- Last Updated
- August 27, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 1978856 (NY, United Health Care), 5884010 (NY, Aetna), 00020934002 (NY, Univera), 010806583 (NY, Nova), 161578122 (NY, North American Preferred), 410042275 (NY, Medicare Railroad), 146065CS (NY, Preferred Care), 251744484 (NY, North American Preferred), 7290085 (NY, Independent Health), 9382749 (NY, Phcs), 161578122 (NY, Empire - United Heatlhcar), 251744484 (NY, Empire - United Healthcar), NY5582 (NY, Eyemed), P00704467 (NY, Railroad Medicare), 000390107004 (NY, Blue Cross/ Blue Shield)