David Blair Willson

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

80717 Issued in TX

Practice address

3711 20TH St Ste C
Lubbock, TX 79410-1223

Phone

(806) 744-4645

Fax

(806) 368-8746

NPI assigned

Sep 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1487139135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 17TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014523",
            "telephone_number": "806-744-4646",
            "fax_number": "806-368-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 20TH ST STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101223",
            "telephone_number": "806-744-4645",
            "fax_number": "806-368-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "DAVID",
        "middle_name": "BLAIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TX",
            "license": "80717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Orthotic and Prosthetic Inc
• Sara Ann Williamson, LPC
• Katelyn Rebecca Willingham, OTR
• Alyssa Kathryn Willis, LPC
• Kody Allen Willis, RN
• April Tulane Wilmeth, OTR
• Ashley Butchee Wilmeth, MS, RD, LD
• Christy Wilmeth, LPC
• Henrik Wilms, MD
• Wilson Anesthesia Lubbock PA

• Hearing Aid Equipment in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Hearing Aid Equipment in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.