Individual provider Active NPI

Michelle M Williiamson

  • Optician
  • Orlando, FL
National Provider Identifier
1235795253
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
3495 Issued in FL
Practice address
1231 N Orange Ave
Orlando, FL 32804-6452
Phone
(407) 286-3350
Fax
(407) 286-3352
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 3495 FL Primary

Addresses

Primary practice location

1231 N Orange Ave
Orlando, FL 32804-6452

Mailing address

1231 N Orange Ave
Orlando, FL 32804-6452
Phone (407) 286-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3495FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1235795253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046452",
            "telephone_number": "407-286-3350",
            "fax_number": "407-286-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046452",
            "telephone_number": "407-286-3350",
            "fax_number": "407-286-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIIAMSON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.