Scott Timothy Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5042T Issued in TX

Practice address

1405 E Tyler Street
Suite 100
Athens, TX 75751-2724

Phone

(903) 677-0255

Fax

(903) 677-0229

NPI assigned

Nov 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891861803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E TYLER STREET",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512724",
            "telephone_number": "903-677-0255",
            "fax_number": "903-677-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E TYLER STREET",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512724",
            "telephone_number": "903-677-0255",
            "fax_number": "903-677-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCOTT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5042T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Wheeler, CRNA
• Kiara Savon Whitemon
• Mackenzie Danielle Wilder, LAT, ATC
• Jennifer Faye Williams, FNP-C
• Khoshunda Monique Williams, FNP-C
• Shayla Willmott, CRNA
• Vicki Wolfe
• Tammy Dixon Womble, RPH
• Steve Woodruff, DDS
• Katelin Brooke Ybarbo, DDS

• Optometrist in Athens, TX
• Providers in Athens, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.