Provider Demographics
NPI:1477588051
Name:HOYER, WILLIAM F III (OD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:HOYER
Suffix:III
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 1:112 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CLOVERDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95425-3607
Mailing Address - Country:US
Mailing Address - Phone:707-894-3936
Mailing Address - Fax:707-894-3998
Practice Address - Street 1:112 W 1ST ST
Practice Address - Street 2:
Practice Address - City:CLOVERDALE
Practice Address - State:CA
Practice Address - Zip Code:95425-3607
Practice Address - Country:US
Practice Address - Phone:707-894-3936
Practice Address - Fax:707-894-3998
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6461T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0064610Medicaid
CASD0064610Medicaid
CAMH0640602OtherDEA