Paul D Willis, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO001314 Issued in GA

Practice address

3131 Pio Nono Ave
Macon, GA 31206-3027

Phone

(478) 781-2818

Fax

(478) 746-9865

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Sight for Sore Eyes

  • Optometrist
  • Macon, GA
  • NPI 1558407072
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114959376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063027",
            "telephone_number": "478-781-2818",
            "fax_number": "478-746-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063027",
            "telephone_number": "478-781-2818",
            "fax_number": "478-746-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanquetris Williams, CNA
• Shavonica Williams, MS, SLP-CF
• Tanya F Williams, PA-AA
• John T Williamson, P.T.
• Rondrick Eshon Williamson
• Sydney Willis
• Willow Creek Real Estates Properties
• Willowsway, LLC
• Wilson Counseling Service, LLC
• Jeffrey A Wilson-Reese, PSY.D.

• Optician in Macon, GA
• Providers in Macon, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.