Thomas Michael Williams, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA002083 Issued in GA

Practice address

500 E Alice St
Bainbridge, GA 39819-4998

Phone

(229) 246-9525

Fax

(229) 246-9514

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 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

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas M Williams OD Inc

  • Optometrist
  • Bainbridge, GA
  • NPI 1124344015
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619042215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19874 STATE ROAD 71 N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324246609",
            "telephone_number": "229-246-9525",
            "fax_number": "229-246-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ALICE ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194998",
            "telephone_number": "229-246-9525",
            "fax_number": "229-246-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA002083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466706497A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylena Mosely Wiggins, CCC-SLP
• Grace Ellen Wiley, MSW, LMSW
• Samantha Wilkin, SLP
• Demedris Williams
• Lashana Williams
• Wiregrass Hospice, LLC (Gentiva)
• Whitney Hope Womble, FNP-C
• Mary Virginia Yates, PHARMD
• Richard D Zlotnik, MD

• Optometrist in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Optometrist in Georgia

• 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.
• 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.