Terry Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

05792 Issued in CA

Practice address

1517 S Oregon St
Yreka, CA 96097-3425

Phone

(530) 842-5705

Fax

(530) 842-3061

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Terry D Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1811990591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-842-5705",
            "fax_number": "530-842-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-842-5705",
            "fax_number": "530-842-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERRY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "05792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "WILLIAMS",
            "middle_name": "D",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Phillip Jon White, P.T.
• Chardilaine Whitlock, FNP-C
• M Kit Whitney, MFTI
• Tina Wilcox
• William King Thompson III
• Paul William Willis, RPH
• Timothy Gay Willis, DDS
• Dawn Wilson
• Sadie L Wilson
• Tyrus Autumn Wilson

• Optometrist in Yreka, CA
• Providers in Yreka, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.