Organization Active NPI

Jeffrey Alan Williams OD PC

  • Optometrist
  • Robertsdale, AL
National Provider Identifier
1629589213
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S751-TA324 Issued in AL
Legal business name
JEFFREY ALAN WILLIAMS OD PC
Practice address
18567 Highway 104
Robertsdale, AL 36532
Phone
(251) 945-2020
Fax
(251) 945-1591
NPI assigned
Oct 23, 2017
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Jeffrey Alan Williams, ODNPI 1881638005
Title
Optometrist
Phone
(251) 538-7015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S751-TA324 AL Primary

Addresses

Primary practice location

18567 Highway 104
Robertsdale, AL 36532

Mailing address

18465 State Highway 104
Robertsdale, AL 36567-8726
Phone (251) 538-7015

Other practice location 1

170 E Fort Morgan Rd
Gulf Shores, AL 36542-3510
Phone (251) 968-5917

National Provider Directory

National Provider Directory

Locations

18465 State Highway 104
Robertsdale, AL 36567
Phone (251) 945-1609

18471 Wilters St
Robertsdale, AL 36567
Phone (251) 538-7015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1629589213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18465 STATE HIGHWAY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365678726",
            "telephone_number": "251-538-7015",
            "fax_number": "251-968-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18567 HIGHWAY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-945-2020",
            "fax_number": "251-945-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E Fort Morgan Rd",
            "address_purpose": "LOCATION",
            "city": "Gulf Shores",
            "state": "AL",
            "postal_code": "365423510",
            "country_code": "US",
            "telephone_number": "251-968-5917",
            "fax_number": "251-968-5923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY ALAN WILLIAMS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "251-538-7015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S751-TA324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.