James a Williams, OD, PC
Organization Active NPI Optometrist · Fairview, TX
NPI 1083929632 · NPPES record last updated Mar 5, 2011
Key facts
- NPI
- 1083929632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- JAMES A WILLIAMS, OD, PC
- Practice address
- 120 Town PL
Fairview, TX 75069-1822 - Phone
- (972) 549-4255
- Fax
- (972) 549-4257
- NPI assigned
- Aug 6, 2010
- Organization subpart
- No
Authorized official
- Name
- James Williams, OD
- Title
- Owner
- Phone
- (972) 516-0026
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Practitioners 10
-
Aaron Patrick Buthod, O.D.
-
Dania Hasan, OD
-
James Robert Jones, O.D.
-
Paul Mendoza, O.D.
-
Bhavini M. Patel, O.D.
-
Glyn M Pearson, OD
-
Mark Aaron Ruiz, O.D.
-
James Arthur Williams, O.D.
-
Utang Ekpo, O.D.
-
Shao Li, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070718000660 | TX | Part B Supplier - Clinic/Group Practice | 1355442500 |
Receives reassigned benefits from 18 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fairview, TX; Frisco, TX |
National Provider Directory
- Tax ID family
- James a Williams OD
Locations
2601 Preston Rd
Ste 2124
Frisco, TX 75034
Phone (972) 335-9332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
120 Town PL
Fairview, TX 75069-1822
Mailing address
120 Town PL
Fairview, TX 75069-1822
Phone (972) 549-4255
Other providers in Fairview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.