Provider Demographics
NPI:1952559684
Name:PATTERSON, WILLIAM PAYTON (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PAYTON
Last Name:PATTERSON
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 1:1714 W 23RD ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2932
Mailing Address - Country:US
Mailing Address - Phone:850-215-9101
Mailing Address - Fax:850-215-9102
Practice Address - Street 1:1714 W 23RD ST
Practice Address - Street 2:SUITE K
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2932
Practice Address - Country:US
Practice Address - Phone:850-832-3421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-06
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-B83-TA-797152W00000X
FLOPC 4373152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist