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Physician Compare National (NPI:1144436767)

HEALTHCARE PROVIDER: WILLIAM RYAN BUTLER O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1144436767
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587739636
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080825000267
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BUTLER
Individual professional last name
Provider First Name WILLIAM
Individual professional first name
Provider Middle Name R
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1150 IH 35 N
Group Practice or individual's line 1 address
Line 2 Street Address 500 W. RYAN BUTLER OD PLLC TSO OF ROUND
Group Practice or individual's line 2 address
City ROUND ROCK
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 786814271
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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