Nancy E Williams-Wallace, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

ME69004 Issued in FL

Practice address

36422 US Highway 19 N
Palm Harbor, FL 34684-1330

Phone

(727) 772-7712

Fax

(727) 772-6891

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Nancy Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• WW Eyecar & Surgery LLC

  dba Nancy E. Williams-Wallace MD

  • Specialist
  • Palm Harbor, FL
  • NPI 1073926366
  Authorized official Same address or phone

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1184650970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 CENTENNIAL FALCON DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966310",
            "telephone_number": "813-299-4931",
            "fax_number": "727-772-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36422 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-772-7712",
            "fax_number": "727-772-6891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094617",
            "country_code": "US",
            "telephone_number": "813-879-7711",
            "fax_number": "813-876-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-WALLACE",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "FL",
            "license": "ME69004",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME69004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378657900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WILLIAMS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheri Marie Whitson
• Meagan Amber Widner
• Alexandrea Widoff, COTA/L
• Randy Bryan Wiemer, PT
• Erin A Wildt, PA
• Caleb Shalom Williams
• Claudia Williams
• Darlene Williams, PHD
• George F Williams, D.P.M.
• Hopeton George Williams Jr., D.M.D.

• Pediatric Ophthalmology and Strabismus Specialist Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.