Nicole Amanda Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003408 Issued in PA

Practice address

2020 Sullivan TRL
Easton, PA 18040-8354

Phone

(610) 258-6666

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Easton Eye ,LLC

  dba Remmel Opticians

  • Optometrist
  • Bethlehem, PA
  • NPI 1609767185
  Medicare reassignment NPD
• Monroe Vision and Hearing Center, Inc.

  • Optometrist
  • Stroudsburg, PA
  • NPI 1497821235
  Medicare reassignment NPD
• John P Boscia, O.D.

  • Optometrist
  • Easton, PA
  • NPI 1154437127
  Medicare reassignment
• Valley Health Partners Community Health Center

  dba VHP - Lehigh Valley Physicians Practice

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1932735651
  Medicare reassignment
• Valley Health Partners Community Health Center

  dba VHP- Center for Women's Medicine

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1770118648
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1851886865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S 4TH ST APT 5",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424489",
            "telephone_number": "862-266-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408354",
            "telephone_number": "610-258-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG003408",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Penn Dentistry PC
• William Vogt DDS PC
• Williams TWSP EMS
• Kym Williams, M.S.ED.,M.S. CCC-SLP
• Melissa Zipfel Williams, LCSW
• Tina Williams
• Wilson Area SD
• Wilson Meds Inc (Easton Specilaty Pharmacy Inc)
• John Benjamin Wilson, M.D.
• Kayla Deneen Wilson, MD

• Optometrist in Easton, PA
• Providers in Easton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.

Verify at the official NPI Registry.