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Contact Information

WILLIAM STACY, OD
2920 COLD SPRINGS RD STE B
PLACERVILLE, CA95667
 Phone: 530-626-7460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WILLIAM STACY · (Male)

NPI # 1750424461
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/14/2007
Last updated 09/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 5233T
  • CA Medicaid SD0052331
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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