Individual provider Active NPI

Allisia Williamson, OD

  • Optometrist
  • Ewing, NJ
National Provider Identifier
1821156845
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00577300 Issued in NJ
Practice address
1400 Parkway Ave
Ewing, NJ 08628-3021
Phone
(609) 771-0845
Fax
(609) 771-0845
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00577300 NJ Primary

Addresses

Primary practice location

1400 Parkway Ave
Ewing, NJ 08628-3021

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050810000784 NJ Practitioner - Optometry 5597794412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Bordentown, LLCGroup PAC ID 6800037367, 2 clinicians

Practice addresses (Care Compare)

231 Crosswicks Rd
Suite 6
Bordentown, NJ 08505-2602
Phone (609) 379-6014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Eye Care Center of Bordentown, LLC Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Charles M. Cummins OD PA Optometrist Past Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

231 Crosswicks Rd
Ste 1
Bordentown, NJ 08505
Phone (609) 379-6014

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

641 Shunpike Rd
Chatham Twp, NJ 07928
Phone (201) 377-5566

550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600

1400 Parkway Ave
Ewing, NJ 08628
Phone (609) 323-7503

1410 Parkway Ave
Ste H
Ewing, NJ 08628
Phone (609) 771-0088

1400 Parkway Ave
Ste H
Ewing, NJ 08628

300 Hamilton Commons
Mays Landing, NJ 08330
Phone (609) 383-8614

475 Nassau Park Blvd
Princeton, NJ 08540
Phone (609) 243-8902

873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900

11103 West Ave
Ste 6
San Antonio, TX 78213

Organizations & group practices 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821156845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283021",
            "telephone_number": "609-771-0845",
            "fax_number": "609-771-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ALLISIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00577300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.