Provider Demographics
NPI:1811106115
Name:SLEIGHT, WILLIAM ERNEST (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ERNEST
Last Name:SLEIGHT
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 1:235 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:SHAPLEIGH
Mailing Address - State:ME
Mailing Address - Zip Code:04076-4302
Mailing Address - Country:US
Mailing Address - Phone:207-324-8678
Mailing Address - Fax:
Practice Address - Street 1:813 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04087-0478
Practice Address - Country:US
Practice Address - Phone:207-247-3005
Practice Address - Fax:207-247-3035
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME745-TA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMNT178OtherHPHC
ME000811OtherANTHEM BC BS
ME117960000Medicaid
MEM20485OtherCIGNA
MESLMM0858Medicare ID - Type Unspecified
ME000811OtherANTHEM BC BS
ME117960000Medicaid