Anthony Tyler Williamson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8932T Issued in TX

Practice address

3429 N Twin City Hwy
Port Arthur, TX 77642-2102

Phone

(409) 963-0173

NPI assigned

Jun 19, 2016

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacie Layne Virden OD PAGroup PAC ID 0749510253, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stacie Layne Virden OD PA

  • Optometrist
  • Waco, TX
  • NPI 1427602382
  Medicare reassignment Care Compare group NPD
• Precise Family Eyecare, P.C.

  • Optometrist
  • Sealy, TX
  • NPI 1902043607
  NPD (past)
• Waller Family Eyecare

  • Optometrist
  • Waller, TX
  • NPI 1710172333
  NPD (past)

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1568812709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 95TH ST",
            "address_2": "APT 608",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401552",
            "telephone_number": "903-570-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422102",
            "telephone_number": "409-963-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANTHONY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8932T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "8932T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William D. George, MD
• Anthony Kirk Williams, MD
• Crystal Anai Williams, LPC-A
• Jules Williams Jr.
• Tracy Lane Williams, M.A.,LPC
• Jennifer Ann Wilson
• Lamonica Rose Wilson, LVN
• Timothy Allen Winberg, LPC
• Winnie Community Hospital LLC
• Winnie-Stowell Hospital District

• Optometrist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.