Individual provider Active NPI

William Randall Williamson, MD

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1114924560
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
012044 Issued in LA
Practice address
550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone
(225) 924-2020
Fax
(225) 924-2097
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 012044 LA Primary

Addresses

Primary practice location

550 Connells Park LN
Baton Rouge, LA 70806-6539

Mailing address

550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

Other identifiers 1

IdentifierTypeStateIssuer
1144975MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20051024000144 LA Practitioner - Ophthalmology 1850317355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012044LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Eye Center Ophthalmology CurrentSince Sep 1, 2001 Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Williamson Eye Center Ophthalmology CurrentSince Sep 1, 2001 Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Jonathan M. Levy, DPM, PC Past Accepting new patients
Williamson Eye Center Ophthalmology Past Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

2304 S Burnside Ave
Gonzales, LA 70737
Phone (225) 450-6019

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Networks

  • LA PPO C-SNP

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1114924560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-924-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-924-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "WILLIAM",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "012044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144975",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.