William R. Shockley, OD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0786430001 Issued in GA

Legal business name

WILLIAM R. SHOCKLEY, OD

Practice address

47 Jefferson St
Newnan, GA 30263-1948

Phone

(770) 254-0200

Fax

(770) 254-1281

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Shockley, OD

Title

Owner/Optometrist

Phone

(770) 254-0200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1669644522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JEFFERSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631948",
            "telephone_number": "770-254-0200",
            "fax_number": "770-254-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 JEFFERSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631948",
            "telephone_number": "770-254-0200",
            "fax_number": "770-254-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. SHOCKLEY, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-254-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "0786430001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000443484B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cierra Williams, NP
• Colleen Williams, SLP.D, CCC-SLP
• Donedra Williams, RBT
• John Benjamin Williams, PHARMD

• Durable Medical Equipment & Medical Supplies in Newnan, GA
• Providers in Newnan, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.