MEDICARE: WILLIAM GEORGE OD PA

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	OPC3586	FL

General Provider Information

NPI Number	:	1215107131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM GEORGE OD PA

Provider Business Mailing Address
First Line	:	3674 HAMILTON KY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6466
Country	:	US
Telephone Number	:	561-681-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	11940 US HIGHWAY 1
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-2832
Country	:	US
Telephone Number	:	561-624-0110
Fax Number	:	561-691-1594

Authorized Official
Title or Position	:	OPTOMETRIST/PRESIDENT
Name	:	DR. WILLIAM S GEORGE
Credential	:	OD
Telephone Number	:	561-681-7801

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	03/06/2008

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