Thomas M Williams OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002083 Issued in GA

Legal business name

THOMAS M WILLIAMS OD INC

Practice address

500 E Alice St
Bainbridge, GA 39819-4998

Phone

(229) 246-9525

Fax

(229) 246-9514

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Williams, ODNPI 1619042215

Title

President

Phone

(229) 246-9525

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Michael Williams, O.D.

  • Optometrist
  • Bainbridge, GA
  • NPI 1619042215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1124344015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ALICE ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194998",
            "telephone_number": "229-246-9525",
            "fax_number": "229-246-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ALICE ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194998",
            "telephone_number": "229-246-9525",
            "fax_number": "229-246-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M WILLIAMS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-246-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466706497A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPT002083",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Orthopedic Clinic III PL
• Kimberly Charlette Taylor-Mims
• Alexandria Teal
• Lori Phillips Temples
• Therapy Associates of Georgia , P. C.
• Marqueal Lashon Thomas
• Thrive365, a Counseling Agency
• Total Renal Care Inc.
• Angelica Turner
• Linda Turral, LPC

• Optometrist in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.