James Allan Williamson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1866 Issued in TN

Practice address

1689 Nonconnah Blvd Ste 120
Memphis, TN 38132-2111

Phone

(901) 523-8990

Fax

(901) 522-3436

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern College of Optometry

  • Optometrist
  • Memphis, TN
  • NPI 1851384986
  Medicare reassignment NPD
• Deep Blue Retina, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Southaven, MS
  • NPI 1427511880

  TN

  Medicare reassignment NPD
• Delta Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1184173312
  NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831183060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 NONCONNAH BLVD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322111",
            "telephone_number": "901-523-8990",
            "fax_number": "901-522-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 NONCONNAH BLVD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322111",
            "telephone_number": "901-523-8990",
            "fax_number": "901-522-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JAMES",
        "middle_name": "ALLAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3942042",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD",
            "identifier": "1866",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vonetta Kentia Williams, NP-C
• Wanda F, Williams, MAEDCC-SLP
• Yolanda Williams, PHARM.D.
• Yolanda Ivette Williams, PHARMACIST
• Williamson Pediatrics, PLLC
• Janiece Williamson, LCSW
• Jessica Lynn Williamson, RN, MSN
• Maria Shatise Williamson
• Melinda Johnson Williamson, FNP
• Paulina Williamson, CRNA

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.