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Contact Information

WILLIAM R PIERRE, OD TPA
8201 MISHKOSEN DR
FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER
CRANDON, WI54520
 Phone: 715-478-4300
 Fax: 715-478-4490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WILLIAM R PIERRE · (Male)

NPI # 1114935095
Status Active
Credentials OD TPA
Entity Individual
Enumeration date 08/04/2006
Last updated 12/10/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1897035
  • WI Medicaid 38523300
  • WI Other 72023 SECURITY HEALTH PLAN
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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