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

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

Other identifiers 1

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

State licenses

Practice roles

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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 and National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231340A",
            "state": "IN"
        }
    ],
    "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.