Stacy, William
Stacy, William is an sole proprietor health care provider with primary practice located at 2920 Cold Springs Rd Ste B , Placerville CA 95667. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stacy, William can be contacted via phone (530) 626-7460.Contact Information
Primary practice address
2920 Cold Springs Rd Ste B
Placerville CA 95667
Phone: (530) 626-7460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5233T | California |
Profile Details
| NPI number | 1750424461 |
|---|---|
| LBN Legal business name | Stacy, William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750424461 | NPPES |
| California | MEDICAID | SD0052331 |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Polte, Loren A
2920 Cold Springs Rd Suite B, Placerville CA 95667-4220 -
Edgecomb, Corydon G
1287 Broadway Suite 1, Placerville CA 95667-5805 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Vardanega, Ronald James
1287 Broadway , Placerville CA 95667 -
Mcdonald, Shawn Mitchell
2802 Mallard Lane , Placerville CA 95667 -
Wu, Yu-Tai
4641 Missouri Flat Rd , Placerville CA 95667-6816