Active NPI
Robert T. Williamson, MD Dba Indiana Eyecare Center
- Ophthalmology Physician
- Lafayette, IN
National Provider Identifier
1740385293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ROBERT T. WILLIAMSON, MD DBA INDIANA EYECARE CENTER
- Practice address
- 1400 Teal Rd
Suite 8
Lafayette, IN 47905-2464 - Phone
- (765) 477-2020
- Fax
- (765) 477-8200
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert T Williamson, MD
- Title
- Owner
- Phone
- (765) 477-2020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1400 Teal Rd
Suite 8
Lafayette, IN 47905-2464
Mailing address
1400 Teal Rd
Suite 8
Lafayette, IN 47905-2464
Phone (765) 477-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100233260A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1400 Teal Rd
Ste 8
Lafayette, IN 47905
Phone (765) 477-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Lafayette, IN
- NPI 1376517573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1740385293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TEAL RD",
"address_2": "SUITE 8",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052464",
"telephone_number": "765-477-2020",
"fax_number": "765-477-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TEAL RD",
"address_2": "SUITE 8",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052464",
"telephone_number": "765-477-2020",
"fax_number": "765-477-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT T. WILLIAMSON, MD DBA INDIANA EYECARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-477-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100233260A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.