Lanelle Shellemiah Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3294 Issued in FL

Practice address

1701 NE 164TH St
Suite 200
North Miami Beach, FL 33162-4018

Phone

(305) 947-0027

Fax

(305) 945-8734

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dan Hoffman MD PAGroup PAC ID 6103871876, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dan Hoffman MD PA

  dba Eye Centers of South Florida

  • Ophthalmology Physician
  • N Miami Beach, FL
  • NPI 1902964604
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1508855537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-493-5033",
            "fax_number": "954-493-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NE 164TH ST",
            "address_2": "SUITE 200",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624018",
            "telephone_number": "305-947-0027",
            "fax_number": "305-945-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LANELLE",
        "middle_name": "SHELLEMIAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045725",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620413900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045724",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wigley Surgical Group
• Stephen Wigley IV, D.P.M.
• Alysia Q Williams, PT, DPT
• David L Williams Sr.
• Harold S Williams, MD
• Shane Williams, D.O
• Taylor Williams
• Willow Haven Alf, Inc.
• Hadassa Winkler, CCC-SLP
• Wisdom Tooth Clinical Services PA

• Optometrist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.