Individual provider Active NPI

James F Williamson, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1760466171
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
640 Issued in NV
Practice address
2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116
Phone
(702) 734-9600
Fax
(725) 999-3781
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8048 CA
Optometrist 152W00000X 640 NV Primary

Addresses

Primary practice location

2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116

Mailing address

2090 E Flamingo Rd Ste 101
Las Vegas, NV 89119-5116
Phone (702) 734-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20121011000270 NV Practitioner - Optometry 4981869567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris Wong, O.D. and James F. Williamson, O.D., P.C.Group PAC ID 2365607942, 2 clinicians

Practice addresses (Care Compare)

2090 E Flamingo Rd
Suite 100
Las Vegas, NV 89119-5131
Phone (702) 734-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8048CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doris Wong, O.D. & James F. Williamson, O.D., P.C. Optometrist CurrentSince Aug 22, 2012 Accepting new patients

Locations

2090 E Flamingo Rd
Ste 101
Las Vegas, NV 89119
Phone (702) 734-9600

2090 E Flamingo Rd
Ste 100
Las Vegas, NV 89119
Phone (702) 733-9271

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1760466171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 E FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195116",
            "telephone_number": "702-734-9600",
            "fax_number": "725-999-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 E FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195116",
            "telephone_number": "702-734-9600",
            "fax_number": "725-999-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8048",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.