Individual provider Active NPI

David Scott Williams, M.D.

  • Ophthalmology Physician
  • Elizabethtown, PA
National Provider Identifier
1821176959
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD439951 Issued in PA
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

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000408 PA Practitioner - Ophthalmology 7416009766 Reassigns benefits to 1 organization

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
Bouquet Mulligan Demaio Eye Professionals P.C.Group PAC ID 7517918394, 5 clinicians

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

ProcedureNumber of procedures
Cataract surgery94

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN9942FLMDOphthalmology Physician
MD439951PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bouquet Mulligan Demaio Eye Professionals P.C. Ophthalmology CurrentSince Dec 1, 2024 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.

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

Verify at the official NPI Registry.