Individual provider Active NPI

Baron James Williamson, MD

  • Ophthalmology Physician
  • Zachary, LA
National Provider Identifier
1336145606
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
021383 Issued in LA
Practice address
2421 Church St
Zachary, LA 70791-2710
Phone
(225) 654-1061
Fax
(225) 654-0791
NPI assigned
Jun 22, 2005
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 021383 LA Primary

Addresses

Primary practice location

2421 Church St
Zachary, LA 70791-2710

Mailing address

2421 Church St
Zachary, LA 70791-2710
Phone (225) 654-1061

Other identifiers 1

IdentifierTypeStateIssuer
1926591MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000132 LA Practitioner - Ophthalmology 5799887840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Cosmetic Center, LLCGroup PAC ID 9931201738, 4 clinicians

Practice addresses (Care Compare)

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

2421 Church St
Zachary, LA 70791-2710
Phone (225) 654-1061

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery860
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021383LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Humble and Raymond Haik, PTRS Ophthalmology CurrentSince May 12, 2009 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Ophthalmology CurrentSince May 12, 2009 Accepting new patients
Eye Care and Cosmetic Center, LLC CurrentSince Jan 1, 2007 Accepting new patients
Zachary ASC Partners, LLC Current Accepting new patients
Eye Care & Cosmetic Center, LLC Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

4263 Hwy 1 S
Port Allen, LA 70767
Phone (225) 308-6311

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

2421 Church St
Zachary, LA 70791
Phone (225) 654-1061

Interoperability endpoints

  • Direct secure messaging: williamson@hhec1211.srs-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1336145606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BARON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "021383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.