Jory David Williams, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0057402 Issued in FL

Practice address

501 N Howard Ave
Suite # 100
Tampa, FL 33606-1244

Phone

(813) 253-2727

Fax

(813) 253-2729

NPI assigned

Feb 16, 2006

Last updated

Dec 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jowilliams@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1114925153
  Medicare reassignment NPD
• Jory D Williams M D P a

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1104878198
  Authorized official Same address or phone
• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
  • NPI 1790488013
  NPD
• The Eye Physicians of Pinellas, PA

  dba Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1073587861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HOWARD AVE",
            "address_2": "SUITE # 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061244",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HOWARD AVE",
            "address_2": "SUITE # 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061244",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0057402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "12117B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2520705",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1706656",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Maxine Williams
• Jeremy O Williams, CRNA
• Jocelyn Grace Williams
• Jodi Williams
• John Craig Williams, O. D.
• Joshua R Williams, PA-C
• Julieth C Williams, OTR/L
• Kaitlyn Crockett Williams
• Katharine Ann Williams, ARNP
• Kevin Nigel Williams, PA-C

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.