Provider Demographics
NPI:1679976468
Name:WILLIAM H DILLON, O.D., D.O., PA
Entity type:Organization
Organization Name:WILLIAM H DILLON, O.D., D.O., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-925-2600
Mailing Address - Street 1:8824 ENCLAVE CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4485
Mailing Address - Country:US
Mailing Address - Phone:941-925-2600
Mailing Address - Fax:941-925-2600
Practice Address - Street 1:1435 E VENICE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3197
Practice Address - Country:US
Practice Address - Phone:941-485-4868
Practice Address - Fax:941-488-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8086207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty