Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM ALFRED PETTIT III, MD
Active Sole ProprietorDR. WILLIAM ALFRED PETTIT III, MD is a Ophthalmology healthcare provider located in LA GRANDE, Oregon. NPI 1942308473 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · LA GRANDE, OR
Registration Details
- NPI Number
- 1942308473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.932678982665 yrs)
- Last Updated
- Mar 5, 2014
- License
-
17635 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1404 GEKELER LANELA GRANDE, OR, 97850Browse OR providers · Browse ZIP 97850
- Phone
- 5419633119
- Fax
- 5419633110
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Optician, Dispensing
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.