Organization Active NPI

Margot Williams, OD, PLLC

  • Optometrist
  • Port Angeles, WA
National Provider Identifier
1427467943
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60093513 Issued in WA
Legal business name
MARGOT WILLIAMS, OD, PLLC
Practice address
3411 E Kolonels Way
Port Angeles, WA 98362-9089
Phone
(360) 452-6131
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Margot WilliamsNPI 1497064604
Title
OD
Phone
(360) 452-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60093513 WA Primary

Addresses

Primary practice location

3411 E Kolonels Way
Port Angeles, WA 98362-9089

Mailing address

3411 E Kolonels Way
Port Angeles, WA 98362-9089
Phone (360) 452-6131

Other identifiers 1

IdentifierTypeStateIssuer
G8900163OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826000708 WA Part B Supplier - Clinic/Group Practice 1456579986 Receives reassigned benefits from 2 practitioners
Practice locations: Port Angeles, WA

National Provider Directory

National Provider Directory

Locations

3411 E Kolonels Way
Port Angeles, WA 98362
Phone (360) 452-3105

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1427467943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 E KOLONELS WAY",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629089",
            "telephone_number": "360-452-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 E KOLONELS WAY",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629089",
            "telephone_number": "360-452-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGOT WILLIAMS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARGOT",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "360-452-6131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60093513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8900163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.