Active NPI
David Scott Williams, M.D.
- Ophthalmology Physician
- Elizabethtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD439951
- Practice address
- 1676 S Market St
Elizabethtown, PA 17022-2853 - Phone
- (717) 361-9727
- Fax
- (717) 361-2460
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TRN9942 | FL | |
| Ophthalmology Physician | 207W00000X | ME103721 | FL | |
| Ophthalmology Physician | 207W00000X | MD439951 | PA | Primary |
Addresses
Primary practice location
1676 S Market St
Elizabethtown, PA 17022-2853
Mailing address
233 W Penn Ave
Cleona, PA 17042-3230
Phone (717) 272-0581
Other practice location 1
233 W Penn Ave
Cleona, PA 17042-3230
Phone (717) 272-0581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1676 S Market St
BMD Eye Lab
Elizabethtown, PA 17022-2853
Phone (717) 272-0581
233 W Penn Ave
Cleona, PA 17042-3230
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN9942 | FL | MD | Ophthalmology Physician |
| MD439951 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouquet Mulligan Demaio Eye Professionals P.C. | Ophthalmology | Current | Accepting new patients |
| Bouquet Mulligan Demaio Eye Professionals | Ophthalmology | Past | Accepting new patients |
Locations
233 W Penn Ave
Cleona, PA 17042
Phone (717) 270-1995
1676 S Market St
Elizabethtown, PA 17022
Phone (717) 272-0581
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Cleona, PA
- NPI 1568493351
-
- Ophthalmology Physician
- Elizabethtown, PA
- NPI 1598976581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1821176959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 W PENN AVE",
"city": "CLEONA",
"state": "PA",
"postal_code": "170423230",
"telephone_number": "717-272-0581",
"fax_number": "717-274-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 S MARKET ST",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222853",
"telephone_number": "717-361-9727",
"fax_number": "717-361-2460"
}
],
"practiceLocations": [
{
"address_1": "233 W Penn Ave",
"address_purpose": "LOCATION",
"city": "Cleona",
"state": "PA",
"postal_code": "170423230",
"country_code": "US",
"telephone_number": "717-272-0581",
"fax_number": "717-274-5889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "TRN9942",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME103721",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD439951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.