Organization Active NPI

Williams Eye Institute, PC

Doing business as Williams Eye Institute Optical

  • Durable Medical Equipment & Medical Supplies
  • Hammond, IN
National Provider Identifier
1407852106
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLIAMS EYE INSTITUTE, PC
Doing business as
Williams Eye Institute Optical
Practice address
6850 Hohman Ave
Hammond, IN 46324-1410
Phone
(219) 937-5090
Fax
(219) 937-5093
NPI assigned
Jun 27, 2005
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Dr. Douglas Paul Williams, M.D.
Title
Ceo
Phone
(219) 931-7509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary

Addresses

Primary practice location

6850 Hohman Ave
Hammond, IN 46324-1410

Mailing address

6850 Hohman Ave
Hammond, IN 46324-1410
Phone (219) 937-5090

Other names 1

  • Williams Eye Institute Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930049659 IN DME Supplier - Physician - Ophthalmology 2860386406 Practice locations: Hammond, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Brodersen-Williams Eye in3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1407852106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241410",
            "telephone_number": "219-937-5090",
            "fax_number": "219-937-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241410",
            "telephone_number": "219-937-5090",
            "fax_number": "219-937-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS EYE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-931-7509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Eye Institute Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williams Eye Institute Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.