Provider Demographics
NPI:1366415242
Name:LAPPLE, WILLIAM JOHN (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:LAPPLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8663 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-9717
Mailing Address - Country:US
Mailing Address - Phone:585-538-6435
Mailing Address - Fax:585-538-9725
Practice Address - Street 1:8663 E MAIN RD
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-9717
Practice Address - Country:US
Practice Address - Phone:585-538-6435
Practice Address - Fax:585-538-9725
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT 004431152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11765CMedicare PIN