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Contact Information

WILLIAM F WATERBURY II, OD
228 N. HELMER RD.
SPRINGFIELD, MI49037-7931
 Phone: 269-963-5640
 Fax: 269-963-1666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for WILLIAM F WATERBURY II · (Male)

NPI # 1043274327
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/14/2006
Last updated 03/20/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901003906
  • MI Medicaid 4723594
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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