Jeffrey Alan Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-751-TA-324 Issued in AL

Practice address

18465 Highway 104
Robertsdale, AL 36567-8725

Phone

(251) 945-1609

Fax

(251) 945-1591

NPI assigned

Jun 16, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

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.

• Jeffrey Alan Williams OD PC

  • Optometrist
  • Robertsdale, AL
  • NPI 1629589213
  NPD Authorized official
• Bay Eyes Cataract and Laser Center, Inc.

  • Optometrist
  • Fairhope, AL
  • NPI 1396884227
  NPD (past)
• Mobile Bay Vision, LLC

  • Optometrist
  • Mobile, AL
  • NPI 1528422193
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1881638005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FORESTER AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323307",
            "telephone_number": "251-538-7015",
            "fax_number": "251-945-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18465 HIGHWAY 104",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365678725",
            "telephone_number": "251-945-1609",
            "fax_number": "251-945-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-751-TA-324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WI009910734",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Monica Joyce Wallace
• Euveta Fran Whitlock, C.R.N.P.
• Wholesale Optical Supply
• Kathleen Wiggins
• William Leslie Wingo Jr., DMD
• Amy C Younce, CRNP
• Zei, Inc.
• Richard Edward Zitnik Jr., MS, PT

• Optometrist in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.