Provider Demographics
NPI:1124086319
Name:FOX, WILLIAM EDWARD III (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:FOX
Suffix:III
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3820 GLEN IRIS LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4278
Mailing Address - Country:US
Mailing Address - Phone:919-726-4775
Mailing Address - Fax:
Practice Address - Street 1:642 FRIENDLY CENTER RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7804
Practice Address - Country:US
Practice Address - Phone:919-726-4775
Practice Address - Fax:919-573-9554
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1068152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09286OtherBCBS OF NC
T64938Medicare UPIN
246401BMedicare ID - Type Unspecified