Provider Demographics
NPI:1609329184
Name:PRICE, WILL PIEPER (OD)
Entity Type:Individual
Prefix:MR
First Name:WILL
Middle Name:PIEPER
Last Name:PRICE
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 1:439 N MATLOCK ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-7221
Mailing Address - Country:US
Mailing Address - Phone:801-915-9305
Mailing Address - Fax:
Practice Address - Street 1:3460 W CHANDLER BLVD
Practice Address - Street 2:CHANDLER GATEWAY SHOPS
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226
Practice Address - Country:US
Practice Address - Phone:480-333-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2113152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist