Organization Active NPI

Jeffrey S. Williams, Jr

  • Eyewear Supplier
  • Riverhead, NY
National Provider Identifier
1548424302
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV007157 Issued in NY
Legal business name
JEFFREY S. WILLIAMS, JR
Practice address
307 E Main St
Riverhead, NY 11901-2404
Phone
(631) 727-2858
Fax
(631) 727-2866
NPI assigned
Jul 10, 2008
Organization subpart
Yes
Parent organization
JEFFREY S. WILLIAMS, ODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Jeffrey Slaney Williams Jr., O.D.
Title
Owner
Phone
(631) 727-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TUV007157 NY Primary

Addresses

Primary practice location

307 E Main St
Riverhead, NY 11901-2404

Mailing address

307 E Main St
Riverhead, NY 11901-2404
Phone (631) 727-2858

Other names 1

  • Jeffrey S. Williams, Jr. OD Doing business as

National Provider Directory

National Provider Directory
Part of
Jeffrey S Williams Jr

Locations

307 E Main St
Riverhead, NY 11901
Phone (631) 727-2858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1548424302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012404",
            "telephone_number": "631-727-2858",
            "fax_number": "631-727-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012404",
            "telephone_number": "631-727-2858",
            "fax_number": "631-727-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. WILLIAMS, JR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY S. WILLIAMS, OD",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SLANEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-727-2858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV007157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey S. Williams, Jr. OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.