WW Eyecar & Surgery LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME69004 Issued in FL

Legal business name

WW EYECAR & SURGERY LLC

Doing business as

Nancy E. Williams-Wallace MD

Practice address

32615 US Highway 19 N Ste 6
Palm Harbor, FL 34684-3176

Phone

(727) 772-7712

Fax

(727) 772-6891

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Nancy E Williams-Wallace, MD

Title

President

Phone

(727) 772-7712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NANCY E. WILLIAMS-WALLACE MD Doing business as

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1073926366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32615 US HIGHWAY 19 N STE 6",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-772-7712",
            "fax_number": "727-772-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32615 US HIGHWAY 19 N STE 6",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843176",
            "telephone_number": "727-772-7712",
            "fax_number": "727-772-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WW EYECAR & SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-WALLACE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-772-7712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378657900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANCY E. WILLIAMS-WALLACE MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Lee Wrassmann, OTR/L
• Stephanie A. Wray, ATR-BC. LMHCI
• George Edward Wright Jr.
• Candace Raquel Wulff, DO
• Hugh Thomas Wunderlich, DDS
• James Allan Wyle
• Jillian Wynn, PA
• Xfinity Capital, LLC
• Jiaxin Xu
• Afram Yachouh

• Specialist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.