William J. Mallon, MD
NPI 1376569038 · Eyewear Supplier · Vero Beach, FL
Enrolled with Medicare as Dme Supplier - Physician - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William J. Mallon, MD is a Eyewear Supplier organization in Vero Beach, FL (NPI 1376569038).
Provider details
- NPI number
- 1376569038
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mary Pena-Roque, Optician(772) 770-0113
- License
- DO2093 (FL)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Optical
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2015-07-16
Frequently asked questions
- What is William J. Mallon, MD's NPI number?
- William J. Mallon, MD's National Provider Identifier (NPI) is 1376569038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is William J. Mallon, MD?
- William J. Mallon, MD is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is William J. Mallon, MD located?
- William J. Mallon, MD's practice location on file with NPPES is 3500 US Highway 1, Vero Beach, FL 32960-4511.
- What is William J. Mallon, MD's phone number?
- The practice phone number listed in the NPPES registry for William J. Mallon, MD is (772) 770-0113.
- Does William J. Mallon, MD accept Medicare?
- William J. Mallon, MD is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for William J. Mallon, MD?
- The authorized official listed on William J. Mallon, MD's NPPES record is Mary Pena-Roque, Optician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is William J. Mallon, MD's NPI active?
- Yes — William J. Mallon, MD's NPI (1376569038) is active in the NPPES registry as of the last update on 2015-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.