Active NPI
Thomas J. Williams, O.D.
- Optometrist
- Durant, OK
National Provider Identifier
1760572283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 903
- Practice address
- 203 N 16TH Ave
Durant, OK 74701-3607 - Phone
- (580) 924-2730
- Fax
- (580) 924-2731
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 903 | OK | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 903 | OK | |
| Corneal and Contact Management Optometrist | 152WC0802X | 903 | OK | |
| Pediatric Optometrist | 152WP0200X | 903 | OK | |
| Sports Vision Optometrist | 152WS0006X | 903 | OK | |
| Vision Therapy Optometrist | 152WV0400X | 903 | OK | |
| Occupational Vision Optometrist | 152WX0102X | 903 | OK | |
| Ophthalmic Assistant | 156FX1101X | 903 | OK |
Addresses
Primary practice location
203 N 16TH Ave
Durant, OK 74701-3607
Mailing address
PO Box 910
Durant, OK 74702-0910
Phone (580) 924-2730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731004924-001 | Other | OK | BLUE CROSS BLUE SHIELD |
| 731004927 | Other | OK | BLUE CROSS BLUE SHIELD |
| 100765480A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Durant, OK
- NPI 1538335245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1760572283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"city": "DURANT",
"state": "OK",
"postal_code": "747020910",
"telephone_number": "580-924-2730",
"fax_number": "580-924-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N 16TH AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747013607",
"telephone_number": "580-924-2730",
"fax_number": "580-924-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THOMAS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "903",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OK",
"license": "903",
"primary": false
},
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": "OK",
"license": "903",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "731004924-001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "731004927",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100765480A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.