Provider Demographics
NPI:1912996034
Name:STEINER, WILLIAM JOSEPH (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:STEINER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 HILLSDALE MALL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-3409
Mailing Address - Country:US
Mailing Address - Phone:650-341-8080
Mailing Address - Fax:650-341-8565
Practice Address - Street 1:194 HILLSDALE MALL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-3409
Practice Address - Country:US
Practice Address - Phone:650-341-8080
Practice Address - Fax:650-341-8565
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA07066152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU22958Medicare UPIN