Dr Grady Joseph Williams LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

296 Issued in NV

Legal business name

DR GRADY JOSEPH WILLIAMS LLC

Practice address

840 S Rancho Dr
Suite 1
Las Vegas, NV 89106-3837

Phone

(702) 870-5911

Fax

(702) 870-2368

NPI assigned

Aug 9, 2007

Organization subpart

Yes

Parent organization

DR GRADY JOSEPH WILLIAMS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Grady Joseph Williams LLC, OPTOMETRIST

Title

Owner

Phone

(702) 809-8899

Specialties & licenses 1

Addresses

Other names 1

• Dr Grady Joseph Williams LLC Former legal business name

Part of

Dr Grady Joseph Williams LLC

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1467644831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-870-5911",
            "fax_number": "702-870-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-870-5911",
            "fax_number": "702-870-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GRADY JOSEPH WILLIAMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR GRADY JOSEPH WILLIAMS LLC",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS LLC",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-809-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Grady Joseph Williams LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.