Robert T Williamson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01024018A Issued in IN

Practice address

1400 Teal Rd
Suite 8
Lafayette, IN 47905-2463

Phone

(765) 477-2020

Fax

(765) 477-8200

NPI assigned

Feb 14, 2006

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine D Bolton, O.D.

  • Optometrist
  • Lafayette, IN
  • NPI 1487628988
  Medicare reassignment
• Gena R Kidd, M.D.

  • Ophthalmology Physician
  • Lafayette, IN
  • NPI 1922072339
  Medicare reassignment
• Kathleen M Williamson, M.D.

  • Ophthalmology Physician
  • Lafayette, IN
  • NPI 1295021160
  Medicare reassignment

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.

• Robert T. Williamson, MD Dba Indiana Eyecare Center

  • Ophthalmology Physician
  • Lafayette, IN
  • NPI 1740385293
  NPD Authorized official
• Advanced Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, IN
  • NPI 1912971326
  NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1376517573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TEAL RD",
            "address_2": "SUITE 8",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052463",
            "telephone_number": "765-477-2020",
            "fax_number": "765-477-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TEAL RD",
            "address_2": "SUITE 8",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052463",
            "telephone_number": "765-477-2020",
            "fax_number": "765-477-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01024018A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiequane Roshandra Williams
• Skyler Williams, CRNA
• Susan Lynn Williams, DC
• Heather Nicole Williamson
• Kathleen M Williamson, M.D.
• Sarah Michelle Willoughby
• Willowstone Family Services
• Halley Willson, PHARMD
• Cacia L Wilson
• Carleigh Elissa Wilson, DO

• Ophthalmology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.