MEDICARE: DR. WILLIAM JOSEPH STEINER 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	07066	CA

General Provider Information

NPI Number	:	1912996034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOSEPH STEINER O.D.

Provider Business Mailing Address
First Line	:	194 HILLSDALE MALL
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-3409
Country	:	US
Telephone Number	:	650-341-8080
Fax Number	:	650-341-8565

Provider Business Practice Location Address
First Line	:	194 HILLSDALE MALL
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-3409
Country	:	US
Telephone Number	:	650-341-8080
Fax Number	:	650-341-8565

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	03/27/2012

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