Provider Demographics
NPI:1427091057
Name:MONACO, WILLIAM ARTHUR (OD, PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:MONACO
Suffix:
Gender:M
Credentials:OD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LYNAM LOOKOUT DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1128
Mailing Address - Country:US
Mailing Address - Phone:302-598-3698
Mailing Address - Fax:302-292-2209
Practice Address - Street 1:23 LYNAM LOOKOUT DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1128
Practice Address - Country:US
Practice Address - Phone:302-598-3698
Practice Address - Fax:302-292-2209
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI3-0001253152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP00029433OtherRAILROAD MEDICARE
DE1000023163Medicaid
DE4855590001Medicare NSC
DEU46064Medicare UPIN
DE00B910C54Medicare PIN