Active NPI
Jeffrey S. Williams, Jr
- Eyewear Supplier
- Riverhead, NY
National Provider Identifier
1548424302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- TUV007157
- 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, OD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Optometrist
- Riverhead, NY
- NPI 1225024490
-
- Optometrist
- Riverhead, NY
- NPI 1396945143
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.