MEDICARE: DR. WILLIAM C ADAMS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	770	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0901O	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1821056052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM C ADAMS O.D.

Provider Business Mailing Address
First Line	:	PO BOX 397
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-0397
Country	:	US
Telephone Number	:	919-894-2001
Fax Number	:	919-894-3190

Provider Business Practice Location Address
First Line	:	304 E MAIN ST
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-1511
Country	:	US
Telephone Number	:	919-894-2001
Fax Number	:	919-894-3190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	06/18/2012

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Directions to “ DR. WILLIAM C ADAMS O.D.” Practice Location

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