Chandra M Williams, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001840 Issued in FL

Practice address

13453 N Main St Ste 203
Jacksonville, FL 32218-2773

Phone

(904) 696-2027

Fax

(904) 696-2028

NPI assigned

Sep 27, 2006

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

University Alabama Birmingham - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Eye Center PAGroup PAC ID 2163896101, 2 clinicians

River City Vision Center PAGroup PAC ID 8820135353, 4 clinicians

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 and National Provider Directory roles.

• Clarity Eye Center PA

  • Optometrist
  • Orange Park, FL
  • NPI 1902438286
  Medicare reassignment Care Compare group NPD Authorized official
• River City Vision Center PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1649504804
  Medicare reassignment Care Compare group NPD Authorized official
• Southpoint Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1477500767
  NPD (past)
• Vision Today PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1538650155
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1720179997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13453 N MAIN ST STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182773",
            "telephone_number": "904-696-2027",
            "fax_number": "904-696-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13453 N MAIN ST STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182773",
            "telephone_number": "904-696-2027",
            "fax_number": "904-696-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Oakleaf Plantation Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320653625",
            "country_code": "US",
            "telephone_number": "904-449-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHANDRA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OEG001840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00462502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID",
            "identifier": "36102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caelan Williams, ATC
• Carllisa Williams, APRN
• Carol Williams, RRT
• Carolee S Williams, PTA
• Caroline Parker Williams, M.D.
• Chantel Williams
• Charlene J Williams, CRNA
• Charlene Lavette Williams, RN
• Charlie E Williams
• Christopher Ramon Williams, M.D.

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.