Gary J. Williams OD Family Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003216-1 Issued in NY

Legal business name

GARY J. WILLIAMS OD FAMILY EYE CARE PC

Practice address

293 Main Street
Owego, NY 13827-1615

Phone

(607) 687-3391

Fax

(607) 687-4226

NPI assigned

Nov 14, 2006

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary J Williams, ODNPI 1639142946

Title

Optometrist/Owner

Phone

(607) 687-3391

Specialties & licenses 4

Addresses

Other names 1

• Gary J. Williams & Raymond J. Mint OD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Gary J Williams, OD

  • Optometrist
  • Owego, NY
  • NPI 1639142946
  Medicare reassignment Authorized official
• Olessia Xenia Butenko, OD

  • Optometrist
  • Central Square, NY
  • NPI 1619190493
  NPD (past)
• Emily Rose Lidell, OD

  • Optometrist
  • Binghamton, NY
  • NPI 1285231514
  NPD (past)
• Stephen S Solomon, OD

  • Optometrist
  • Owego, NY
  • NPI 1801860150
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1396817540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MAIN STREET",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271615",
            "telephone_number": "607-687-3391",
            "fax_number": "607-687-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 MAIN STREET",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271615",
            "telephone_number": "607-687-3391",
            "fax_number": "607-687-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J. WILLIAMS OD FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "607-687-3391",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007227-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3216",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003216-1",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "3216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary J. Williams & Raymond J. Mint OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gary J. Williams & Raymond J. Mint OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Diane Marie Franz, LCSWR
• Franziska Racker Center
• Stephanie Freije, MS, OTR/L
• Christina Leigh Fuller, FNP-C
• Julie Lynne Gallo, DO
• John P Gatto, RPH
• Alexa Marie Gault, DPT
• Adriana Rosalba Giammarino
• Mary N. Gilfoyle
• Megan Givens

• Optometrist in Owego, NY
• Providers in Owego, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.