Provider Demographics
NPI:1639213689
Name:MAHER, WILLIAM CLAUDE (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CLAUDE
Last Name:MAHER
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 1:2429 EKANA DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5824
Mailing Address - Country:US
Mailing Address - Phone:407-366-4821
Mailing Address - Fax:
Practice Address - Street 1:2155 TOWN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6801
Practice Address - Country:US
Practice Address - Phone:407-240-8012
Practice Address - Fax:407-251-8075
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 1293152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist