Individual
DR. WILLIAM DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5725 MAIN ST, SPRINGFIELD, OR 97478-5426
(541) 726-6822
(541) 726-7768
Mailing address
5725 MAIN ST, SPRINGFIELD, OR 97478-5426
(541) 726-6822
(541) 726-7768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1310ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048769
—
OR
01
—
R145460
MEDICARE PTAN
OR
Enumeration date
04/27/2006
Last updated
05/28/2009
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