Provider Demographics
NPI:1295794931
Name:CARRIGER, WILLIAM ALLEN JR (OD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALLEN
Last Name:CARRIGER
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1001 SW MULVANE ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1419
Mailing Address - Country:US
Mailing Address - Phone:785-234-3937
Mailing Address - Fax:785-234-1577
Practice Address - Street 1:1001 SW MULVANE ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1419
Practice Address - Country:US
Practice Address - Phone:785-234-3937
Practice Address - Fax:785-234-1577
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1045-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSMC0304092OtherDEA
KS052527Medicare ID - Type Unspecified
KSMC0304092OtherDEA