Christi LB McWilliams, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

AK248 Issued in AK

Practice address

29 College Rd Ste 14
Fairbanks, AK 99701-1739

Phone

(907) 374-4454

Fax

(907) 374-4443

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• DJ Kosterman OD LLC

  • Optometrist
  • Eagle River, AK
  • NPI 1356523831
  NPD (past)
• Samuel a McConkey III MD PC

  • Ophthalmology Physician
  • Fairbanks, AK
  • NPI 1578601340
  NPD (past)
• Samuel a McConkey III MD PC

  • Ophthalmology Physician
  • Glendale, AZ
  • NPI 1134315757
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1093920670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COLLEGE RD STE 14",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011739",
            "telephone_number": "907-374-4454",
            "fax_number": "907-374-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COLLEGE RD STE 14",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011739",
            "telephone_number": "907-374-4454",
            "fax_number": "907-374-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Old Steese Hwy",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997013123",
            "country_code": "US",
            "telephone_number": "907-456-4822",
            "fax_number": "907-456-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "CHRISTI",
        "middle_name": "LB",
        "credential": "L.D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "AK248",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "DOPD248",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fairbanks",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 College Rd Ste 14",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997011739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Lynn McNeely, RN
• Carly Dale McQueen, PA-C
• Tirrell Jabbar McRavin, YC
• McKayla McReaken
• Vanessa H McTague
• Joseph C McWilliams
• Amber Rose Meacham
• Isaac Meadows
• Stephanie Carol Meath, BSW
• Leila Mecklenburg

• Optician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.