=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205827540
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WILLIAM C. ALBERT M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2005
-----------------------------------------------------
Last Update Date | 12/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7871 TENNYSON CT
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-4143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-459-6582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7871 TENNYSON CT
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-4143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-459-6582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207WX0120X
-----------------------------------------------------
Taxonomy Name | Cornea and External Diseases Specialist Physician
-----------------------------------------------------
License Number | 17841
-----------------------------------------------------
License Number State | SD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207WX0120X
-----------------------------------------------------
Taxonomy Name | Cornea and External Diseases Specialist Physician
-----------------------------------------------------
License Number | 4301036790
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------