Provider Demographics
NPI:1740285667
Name:EPSTEIN, WILLIAM STUART (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STUART
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:648 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1710
Mailing Address - Country:US
Mailing Address - Phone:541-482-8100
Mailing Address - Fax:541-488-5081
Practice Address - Street 1:3530 TOLMAN CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-8615
Practice Address - Country:US
Practice Address - Phone:541-482-8100
Practice Address - Fax:541-488-5081
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD13789207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0000WCPBQOtherMEDICARE GROUP NUMBER
CA180036231OtherRAILROAD MEDICARE
CAGR0063170Medicaid
OR289751Medicaid
OR180001658OtherRAILROAD MEDICARE
CAZZZ13445ZOtherMEDICARE GROUP NUMBER
CAZZZ13445ZOtherMEDICARE GROUP NUMBER
CAA37173Medicare UPIN
CA4164730003Medicare NSC
OR00WCPBQAMedicare PIN
CA180036231OtherRAILROAD MEDICARE