Individual provider Active NPI

Jason A Williams, M.D

  • Ophthalmology Physician
  • Hanover, PA
National Provider Identifier
1720061443
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD426021 Issued in PA
Practice address
250 Fame Avenue
Suite 225
Hanover, PA 17331
Phone
(717) 637-1919
Fax
(717) 637-2326
NPI assigned
Nov 28, 2005
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C10007958 DE
Ophthalmology Physician 207W00000X D0064000 MD
Ophthalmology Physician 207W00000X MD426021 PA Primary

Addresses

Primary practice location

250 Fame Avenue
Suite 225
Hanover, PA 17331

Mailing address

250 Fame Avenue
Suite 225
Hanover, PA 17331
Phone (717) 637-1919

Other identifiers 2

IdentifierTypeStateIssuer
1720061443OtherNPI
1768246OtherPABS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000560 MD Practitioner - Ophthalmology 1355371477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Eye Center, P.a.Group PAC ID 1557439619, 4 clinicians

Practice addresses (Care Compare)

1414 S Salisbury Blvd
Salisbury, MD 21801-7127
Phone (410) 749-1191

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
79.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10007958DEMDOphthalmology Physician
D0064000MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cec Surgical Services, LLC CurrentSince Jul 1, 2020 Accepting new patients
Chesapeake Eye Center, P.a. Current Accepting new patients
Chesapeake Eye Center, P.a. Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients

Locations

10231 Old Ocean City Blvd
Ste 102
Berlin, MD 21811
Phone (410) 546-8037

105 Pine Bluff Rd
Salisbury, MD 21801
Phone (410) 543-1144

105 Pine Bluff Rd
Ste 3
Salisbury, MD 21801

1414 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 749-1191

Interoperability endpoints

  • Direct secure messaging: jwilliams@cheseye.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1720061443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVENUE",
            "address_2": "SUITE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-637-1919",
            "fax_number": "717-637-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVENUE",
            "address_2": "SUITE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-637-1919",
            "fax_number": "717-637-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10007958",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0064000",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD426021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720061443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1768246",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.