Organization Active NPI

Don E Williamson Odpa

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1851496558
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 870 Issued in FL
Legal business name
DON E WILLIAMSON ODPA
Doing business as
WILLIAMSON EYE CENTER
Practice address
3218 Del Prado Blvd S
Cape Coral, FL 33904-7203
Phone
(239) 542-2504
Fax
(239) 542-5633
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Donnie Williamson
Title
Administraitor
Phone
(239) 542-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 870 FL Primary

Addresses

Primary practice location

3218 Del Prado Blvd S
Cape Coral, FL 33904-7203

Mailing address

3218 Del Prado Blvd S
Cape Coral, FL 33904-7203
Phone (239) 542-2504

Other identifiers 2

IdentifierTypeStateIssuer
74821OtherFLBCBS FLORIDA
620899100MedicaidFL

Other names 1

  • WILLIAMSON EYE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100302000155 FL Part B Supplier - Clinic/Group Practice 9830234905 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL
O20100930090491 FL DME Supplier - Physician - Optometrist 9830234905 Practice locations: Cape Coral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Don E Williamson Odpa3218 Del Prado Blvd S, Cape Coral, FL 33904-7203(239) 542-2504 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Dec 16, 2009

National Provider Directory

National Provider Directory

Locations

3218 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-2504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1851496558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047203",
            "telephone_number": "239-542-2504",
            "fax_number": "239-542-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047203",
            "telephone_number": "239-542-2504",
            "fax_number": "239-542-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON E WILLIAMSON ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "ADMINISTRAITOR",
        "authorized_official_telephone_number": "239-542-2504"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "74821",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620899100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMSON EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

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

Verify at the official NPI Registry.