MEDICARE: WILLIAM W TOWNSEND OD PC

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	0618000189	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538320163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM W TOWNSEND OD PC

Provider Business Mailing Address
First Line	:	4224 HOLLAND ROAD
Second Line	:	108
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1900
Country	:	US
Telephone Number	:	757-463-0000
Fax Number	:	757-631-0260

Provider Business Practice Location Address
First Line	:	4224 HOLLAND ROAD
Second Line	:	108
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1900
Country	:	US
Telephone Number	:	757-463-0000
Fax Number	:	757-631-0260

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM WALLACE TOWNSEND
Credential	:	OD
Telephone Number	:	757-463-0000

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	02/07/2011

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