Provider Demographics
NPI:1518004043
Name:MAIORANO, WILLIAM STEPHEN (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:MAIORANO
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 1:2418 HUNTINGDALE LN
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5846
Mailing Address - Country:US
Mailing Address - Phone:407-359-8721
Mailing Address - Fax:407-359-8721
Practice Address - Street 1:2418 HUNTINGDALE LN
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5846
Practice Address - Country:US
Practice Address - Phone:407-359-8721
Practice Address - Fax:407-359-8721
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3076152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620238100Medicaid
FL620238100Medicaid
FL20758 BMedicare ID - Type Unspecified