Provider Demographics
NPI:1407396138
Name:SPRINGER, WILLIAM KENDALL (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENDALL
Last Name:SPRINGER
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 1:922 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-3503
Mailing Address - Country:US
Mailing Address - Phone:209-600-9655
Mailing Address - Fax:
Practice Address - Street 1:3055 LOUGHBOROUGH DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-1119
Practice Address - Country:US
Practice Address - Phone:209-384-0879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT33632-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist