Ray D Williams, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

000673 Issued in GA

Practice address

1119 E Lamar St
Americus, GA 31709-3762

Phone

(229) 924-4022

Fax

(229) 924-7133

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Regional Eye Center, LLP

  • Ophthalmology Physician
  • Americus, GA
  • NPI 1790836864

  Optometrist

  Medicare reassignment NPD
• Williams, Moates & Moates

  dba Regional Eye Center

  • Ophthalmology Physician
  • Leesburg, GA
  • NPI 1235359720

  Optometrist

  NPD (past) Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1285627661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E LAMAR ST",
            "address_2": "P O BOX 788",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093762",
            "telephone_number": "229-924-4022",
            "fax_number": "229-924-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093762",
            "telephone_number": "229-924-4022",
            "fax_number": "229-924-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RAY",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000061597D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00061597A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cami Williams, P.P.
• Chadwick Williams, PHARMD
• Claire Samantha Williams, B.A, B.S.
• Nena Nakesha Williams
• Paula Gill Williams, RPH
• Samuel Williams Jr., LPC
• Shmeka Williams
• Sonja Chambliss Williamson, LPN
• Antonio Terrell Willis
• Misty Faulk Willis, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.