Individual
DR. WILLIAM DAVID POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
216 NW 1ST STREET, GALVA, IL 61434
(309) 932-3615
(309) 932-2023
Mailing address
216 NW 1ST STREET, GALVA, IL 61434
(309) 932-3615
(309) 932-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03732024
BLUE CROSS BLUE SHIELD
IL
05
—
046007644
—
IL
01
—
5352770001
DME
IL
01
—
DD0570
RR MEDICARE
IL
01
—
P00206090
RR MEDICARE
IL
Enumeration date
09/20/2006
Last updated
09/14/2012
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