DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILLIAM A PELLOW X, OD

Active Sole Proprietor

DR. WILLIAM A PELLOW X, OD is a Optometrist healthcare provider located in REPUBLIC, Washington. NPI 1508964180 is currently active in the NPPES registry. Verify at CMS.

Optometrist · REPUBLIC, WA

Registration Details

NPI Number
1508964180
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.71425150469 yrs)
Last Updated
Oct 2, 2012
License
1669TX (WA)
Sole Proprietor
Yes

Practice Information

Address
90 N CLARK AVE
UNIT 3
REPUBLIC, WA, 991665024
Browse WA providers · Browse ZIP 99166
Phone
5097753800
Fax
5097753994
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.