Healthcare Provider Details

I. General information

NPI: 1639141930
Provider Name (Legal Business Name): WILLIAM W SPEARMAN O.D., P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E MAIN ST
PICKENS SC
29671-2385
US

IV. Provider business mailing address

306 E MAIN ST
PICKENS SC
29671-2385
US

V. Phone/Fax

Practice location:
  • Phone: 864-878-6060
  • Fax: 864-878-6275
Mailing address:
  • Phone: 864-878-6060
  • Fax: 864-878-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: