Organization Active NPI

Robert T. Williamson, MD Dba Indiana Eyecare Center

  • Ophthalmology Physician
  • Lafayette, IN
National Provider Identifier
1740385293
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Robert T Williamson, MDNPI 1376517573
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100233260AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.