Provider Demographics
NPI:1750120911
Name:WORLEY, WILLIAM REY III (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:REY
Last Name:WORLEY
Suffix:III
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 1:5521 HIGHWAY 917
Mailing Address - Street 2:
Mailing Address - City:NICHOLS
Mailing Address - State:SC
Mailing Address - Zip Code:29581-3363
Mailing Address - Country:US
Mailing Address - Phone:843-997-8989
Mailing Address - Fax:
Practice Address - Street 1:3420 BROAD ST
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-3002
Practice Address - Country:US
Practice Address - Phone:843-756-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2477152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty