Williams Eye Institute, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

010110 Issued in IN

Legal business name

WILLIAMS EYE INSTITUTE, PC

Doing business as

Williams Eye Surgery Center

Practice address

6836 Hohman Avenue
Hammond, IN 46324-1410

Phone

(219) 937-5063

Fax

(219) 937-5093

NPI assigned

Jun 27, 2005

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Paul Williams

Title

President

Phone

(219) 736-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Williams Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Williams Eye Institute, PC

  dba Williams Eye Institute Optical

  • Durable Medical Equipment & Medical Supplies
  • Hammond, IN
  • NPI 1407852106

  2860386406

  Same PAC ID
• Williams Eye Institute, PC

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1497761845

  2860386406

  Same PAC ID

Listed as

Williams Eye Institute PCCCN 15C0001029

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

James D Brodersen MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Williams Eye Institute, PC

  dba Williams Eye Institute Optical

  • Durable Medical Equipment & Medical Supplies
  • Hammond, IN
  • NPI 1407852106
  NPD tax ID
• Williams Eye Institute, PC

  • Ophthalmology Physician
  • Crown Point, IN
  • NPI 1528778131
  NPD tax ID

Locations

Practitioners 3

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.

• Chava Shifra Landau, CRNA

  • Certified Registered Nurse Anesthetist
  • Hammond, IN
  • NPI 1831127430
  Medicare reassignment NPD
• Megan Rose Silas, MD

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1821450578
  Medicare reassignment NPD
• Adam Edward Cole, CRNA

  • Certified Registered Nurse Anesthetist
  • Lansing, IL
  • NPI 1841294279
  NPD

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1689670390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 MASSACHUSETTS ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070278",
            "telephone_number": "219-736-2200",
            "fax_number": "219-937-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 HOHMAN AVENUE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241410",
            "telephone_number": "219-937-5063",
            "fax_number": "219-937-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS EYE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-736-2200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "010110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200390130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williams Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph L. Wetchler, PH.D.
• Sheena Wilkins, FNP
• Anthony D Wilko, DO
• Williams Eye Institute, PC (Williams Eye Institute Optical)
• Williams Eye Institute, PC
• Ann Katherine Williams MD, M.D.
• Blake Williams, M.D.
• Danielle Williams
• Jennifer Williams
• Lekeisha Williams, PHARMD

• Ambulatory Surgical Clinic/Center in Hammond, IN
• Providers in Hammond, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.