Provider Demographics
NPI:1811957699
Name:RAINEY, WILLIAM B (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:RAINEY
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7910 E CAMELBACK RD UNIT 205
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2631
Mailing Address - Country:US
Mailing Address - Phone:901-569-3215
Mailing Address - Fax:
Practice Address - Street 1:7670 S PRIEST DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1001
Practice Address - Country:US
Practice Address - Phone:602-606-4498
Practice Address - Fax:480-753-2583
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-001787152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMR1375802OtherDEA
TNMR1375802OtherDEA
TN3946828Medicare ID - Type Unspecified