Active NPI
DRS Williams & Vihlen PA
- Eyewear Supplier
- Leesburg, FL
National Provider Identifier
1275600892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DRS WILLIAMS & VIHLEN PA
- Practice address
- 112 E Dixie Ave
Leesburg, FL 34748-6350 - Phone
- (352) 787-1956
- Fax
- (352) 365-6690
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel W Williams, OD
- Title
- President
- Phone
- (352) 787-1956
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
112 E Dixie Ave
Leesburg, FL 34748-6350
Mailing address
112 E Dixie Ave
Leesburg, FL 34748-6350
Phone (352) 787-1956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008872400 | Medicaid | FL |
Other names 1
- Eyecare Center of Leesburg
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eyecare Center of Leesburg | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Coren Eye Group PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Leesburg, FL
- NPI 1588182562
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Leesburg, FL
- NPI 1912492919
-
- Optometrist
- Leesburg, FL
- NPI 1265441455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1275600892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486350",
"telephone_number": "352-787-1956",
"fax_number": "352-365-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486350",
"telephone_number": "352-787-1956",
"fax_number": "352-365-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS WILLIAMS & VIHLEN PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-787-1956",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008872400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyecare Center of Leesburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.