WILLIAM J. MALLON (NPI# 1114976479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114976479 |
| Entity Type | Individual |
| Full Name | WILLIAM J. MALLON |
| Credential | M.D. |
| Practice Address |
3500 Us Highway 1 Vero Beach FL 32960-4511 |
| Mailing Address |
145 Riverway Dr Vero Beach FL 32963-2634 |
| Practice Telephone | 7722991404 |
| Practice Fax Number | 7722991455 |
| Mailing Telephone | 7722346618 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME78127 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013090885 | William Gunther Mallon | Nurse Anesthetist, Certified Registered | 2149 Found Lake Rd. Box 625, Saint Germain, WI 54558-0625 | 2006-10-23 |
| 1881635811 | William Kinney Mallon Jr. | Emergency Medicine | Stony Brook Medicine Dept of Emergency, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2006-06-09 |
| 1558737916 | William Mallon IIi | Counselor | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2015-08-19 |
| 1578982716 | William Mallon | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Montefiore Medical Center - Dept of Radiology, Bronx, NY 10467-2401 | 2014-04-15 |
| 1366437048 | William James Mallon | Orthopaedic Surgery | 120 William Penn Plz, Durham, NC 27704-2150 | 2005-09-19 |
| Street Address |
3500 US HIGHWAY 1 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772101 | Adam M Katz | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2005-09-30 |
| 1699031948 | Alexander D. Blandford | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960 | 2012-04-11 |
| 1295960946 | Derek Hunter Ohlstein | Internal Medicine | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2009-05-26 |
| 1730246257 | Dominick A Benedetto | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2007-01-03 |
| 1649353582 | William J. Mallon, M.d., P.a. | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960 | 2006-10-23 |
| 1376569038 | William J. Mallon, Md | Eyewear Supplier (Equipment, not the service) | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-07-14 |
| 1942242441 | Advanced Eye Surgery Center, LLC | Clinic/Center | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-06-11 |
| 1952355588 | John Michael Schnell | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124073598 | Paul Victor Minotty | Ophthalmology | 1055 37th Pl, Vero Beach, FL 32960-6551 | 2006-05-24 |
| 1598754053 | Wilson King Wallace | Ophthalmology | 2750 Indian River Blvd, Vero Beach, FL 32960-5225 | 2005-10-18 |
| 1790772101 | Adam M Katz | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2005-09-30 |
| 1699075150 | William Miller Cutler | Ophthalmology | 1900 27th St, Vero Beach, FL 32960-3383 | 2010-10-29 |
| 1295969566 | Robert D Holmstrom | Ophthalmology | 4675 28th Ct, Vero Beach, FL 32967-1329 | 2009-05-14 |
| 1780736975 | Stephen Tate | Ophthalmology | 1055 37th Pl, Vero Beach, FL 32960-6551 | 2007-01-17 |
| 1730246257 | Dominick A Benedetto | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2007-01-03 |
| 1649353582 | William J. Mallon, M.d., P.a. | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960 | 2006-10-23 |
| 1013958859 | Edward S. Branigan IIi M.d. P.a. | Ophthalmology | 70 Royal Palm Pt, Suite A, Vero Beach, FL 32960-5200 | 2006-06-10 |
| 1790724532 | David John O'brien | Ophthalmology | 1055 37th Pl, Vero Beach, FL 32960-6551 | 2006-06-06 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.