William A. Downey O.D. INC
Optometrist in South Lake Tahoe, CA. Organization (NPI-2).
NPI number1285779397
StatusActive
Last updated in NPPESSep 14, 2007
Details
- NPI
- 1285779397
- Entity type
- Organization (NPI-2)
- Legal business name
- William A. Downey O.D. INC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Sep 14, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | CA0062010 | CA | Yes |
Practice location
3637 Larch AveSuite 2
South Lake Tahoe, CA 96150-8448
Phone 530-544-3403 · Fax 530-544-4032
Mailing address
3637 Larch AveSuite 2
South Lake Tahoe, CA 96150-8448
Phone 530-544-3403 · Fax 530-544-4032
Authorized official
Melody Orene Quenzer
Optometrist
5305443403
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