Carrie Inez Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP100019 Issued in ID

Practice address

385 N Overland Ave
Store 1900
Burley, ID 83318

Phone

(208) 677-5465

Fax

(208) 677-5467

NPI assigned

Nov 14, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Idaho Vision Alliance,PLLC

  • Optometrist
  • Twin Falls, ID
  • NPI 1427169416
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578635967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "SUN VALLEY",
            "state": "ID",
            "postal_code": "833531343",
            "telephone_number": "208-309-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 N OVERLAND AVE",
            "address_2": "STORE 1900",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-677-5465",
            "fax_number": "208-677-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARRIE",
        "middle_name": "INEZ",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE OF BLUE SHIELD",
            "identifier": "000010140999",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IDAHO",
            "identifier": "V5962",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Lorrine White, LMSW
• Wendy L Whitesides
• James Whitmore, CRNA
• Gregory Brent Wilding, PHARMD
• Tamara Wilkinson, LCSW
• April N Wilson, PHARM D
• Randal Todd Wilson, DMD
• Susie Kay Winder, MS, CCC-SLP
• Carol Winn Gonzales
• Amber A Winnett, PHARM D

• Optometrist in Burley, ID
• Providers in Burley, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.