Provider Demographics
NPI:1083699797
Name:GUAPPONE, WILLIAM JOSEPH (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:GUAPPONE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 OBSERVATORY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2107
Mailing Address - Country:US
Mailing Address - Phone:513-871-5200
Mailing Address - Fax:513-871-5446
Practice Address - Street 1:2731 OBSERVATORY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2107
Practice Address - Country:US
Practice Address - Phone:513-871-5200
Practice Address - Fax:513-871-5446
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3607-T923152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHGU-0530752Medicare ID - Type Unspecified
OHT47833Medicare UPIN