Wieland, William K.
Wieland, William K. is an individual health care provider with primary practice located at 806 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3657. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wieland, William K. can be contacted via phone (505) 842-6575.Contact Information
Primary practice address
806 Dr Martin Luther King Jr Ave Ne
Albuquerque NM 87102-3657
Phone: (505) 842-6575
Fax: (505) 764-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 191 | New Mexico |
Profile Details
| NPI number | 1245225721 |
|---|---|
| LBN Legal business name | Wieland, William K. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1245225721 | NPPES |
| New Mexico | Other | NM02P032 | BC BS OF NM |
| New Mexico | Other | P00156992 | BC BS OF NM |
| New Mexico | MEDICAID | 881400 | BC BS OF NM |
| New Mexico | MEDICAID | P7354 | BC BS OF NM |
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