MEDICARE: DR. WILLIAM JOSEPH GUAPPONE 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	3607-T923	OH

General Provider Information

NPI Number	:	1083699797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOSEPH GUAPPONE O.D.

Provider Business Mailing Address
First Line	:	2731 OBSERVATORY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2107
Country	:	US
Telephone Number	:	513-871-5200
Fax Number	:	513-871-5446

Provider Business Practice Location Address
First Line	:	2731 OBSERVATORY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2107
Country	:	US
Telephone Number	:	513-871-5200
Fax Number	:	513-871-5446

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	08/17/2010

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