Individual provider Active NPI

Zachary Scott Williamson, OD

  • Optometrist
  • Tyrone, GA
National Provider Identifier
1568014454
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003179 Issued in GA
Practice address
179 Handley Rd Ste C
Tyrone, GA 30290-2152
Phone
(770) 486-1020
NPI assigned
Jul 11, 2019
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003179 GA Primary

Addresses

Primary practice location

179 Handley Rd Ste C
Tyrone, GA 30290-2152

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20190819002674 GA Practitioner - Optometry 9436487113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

1044 Avalon Pkwy
McDonough, GA 30253-7661
Phone (770) 898-7078

179 Handley Rd
Suite C
Tyrone, GA 30290-2152
Phone (770) 486-1020

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003179GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
G. Scott Williamson O.D., P.C. Optometrist CurrentSince Jul 12, 2019 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
Williamson Eye Professionals P.C. Optometrist CurrentSince Aug 22, 2019 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078

100 N Peachtree Pkwy
Ste 1
Peachtree Cty, GA 30269
Phone (770) 487-8900

40 Fischer Crossings Dr
Sharpsburg, GA 30277
Phone (678) 621-8604

179 Handley Rd
Ste C
Tyrone, GA 30290
Phone (770) 486-1020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1568014454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANDLEY RD STE C",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902152",
            "telephone_number": "770-486-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.