Active NPI
Gary Lester Williams, O.D.
- Optometrist
- Cincinnati, OH
National Provider Identifier
1346296043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH3097
- Practice address
- 1124 Kemper Meadow Dr
Cincinnati, OH 45240-4117 - Phone
- (513) 851-2414
- Fax
- (513) 851-6159
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH3097 | OH | Primary |
Addresses
Primary practice location
1124 Kemper Meadow Dr
Cincinnati, OH 45240-4117
Mailing address
1124 Kemper Meadow Dr
Cincinnati, OH 45240-4117
Phone (513) 851-2414
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3097 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1346296043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 KEMPER MEADOW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452404117",
"telephone_number": "513-851-2414",
"fax_number": "513-851-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 KEMPER MEADOW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452404117",
"telephone_number": "513-851-2414",
"fax_number": "513-851-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GARY",
"middle_name": "LESTER",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH3097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.