Provider Demographics
NPI:1760563472
Name:BILLMAN, WILLIAM FREDERICK (OD, PC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:BILLMAN
Suffix:
Gender:M
Credentials:OD, PC
Other - Prefix:
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Mailing Address - Street 1:205 E CARMEL DR
Mailing Address - Street 2:SUITE O
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2606
Mailing Address - Country:US
Mailing Address - Phone:317-818-3490
Mailing Address - Fax:317-818-3490
Practice Address - Street 1:205 E CARMEL DR
Practice Address - Street 2:SUITE O
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2606
Practice Address - Country:US
Practice Address - Phone:317-818-3490
Practice Address - Fax:317-818-3490
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN18001669B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN133380Medicare UPIN