Individual provider Active NPI

John Craig Williams, O. D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1205977295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 001374 Issued in FL
Practice address
700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone
(813) 877-4935
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 001374 FL Primary

Addresses

Primary practice location

700 S Dale Mabry Hwy
Tampa, FL 33609-4409

Mailing address

1852 Southwood LN
Clearwater, FL 33764-2468
Phone (727) 535-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001424 FL Practitioner - Optometry 5395066948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.87 of 100Reported as group
Quality
97.6
Improvement activities
40
Cost
76.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 001374FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Eye Center, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients

Locations

5305 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 264-8856

Organizations & group practices 2

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205977295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 SOUTHWOOD LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642468",
            "telephone_number": "727-535-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.