Individual provider Active NPI

Elwood Williams, OPTICIAN

  • Optician
  • Franklin, OH
National Provider Identifier
1427043652
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2467SC Issued in OH
Practice address
3600 Towne Blvd
Suite B
Franklin, OH 45005-5543
Phone
(513) 424-5217
Fax
(513) 424-0205
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 2467SC OH Primary

Addresses

Primary practice location

3600 Towne Blvd
Suite B
Franklin, OH 45005-5543

Mailing address

3600 Towne Blvd
Suite B
Franklin, OH 45005-5543
Phone (513) 424-5217

Other identifiers 1

IdentifierTypeStateIssuer
0259107MedicaidOH

Other names 1

  • Mr. Woody Williams Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2467SCOHMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1427043652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 TOWNE BLVD",
            "address_2": "SUITE B",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055543",
            "telephone_number": "513-424-5217",
            "fax_number": "513-424-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 TOWNE BLVD",
            "address_2": "SUITE B",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055543",
            "telephone_number": "513-424-5217",
            "fax_number": "513-424-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELWOOD",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "2467SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WOODY",
            "last_name": "WILLIAMS",
            "prefix": "MR.",
            "credential": "OPTICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Franklin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.