Shelley Williams O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02968 Issued in MO

Legal business name

SHELLEY WILLIAMS O.D., P.C.

Practice address

2200 Forum Blvd
Suite 102
Columbia, MO 65203-2700

Phone

(573) 445-8780

Fax

(573) 446-2318

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley W Williams, O.D.

Title

Owner/Manager

Phone

(573) 445-8780

Specialties & licenses 1

Addresses

Other names 1

• Williams & hussey Eyecare/ Eyedentity eyewear Doing business as

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1972791382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORUM BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032700",
            "telephone_number": "573-445-8780",
            "fax_number": "573-446-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORUM BLVD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032700",
            "telephone_number": "573-445-8780",
            "fax_number": "573-446-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY WILLIAMS O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "573-445-8780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams & hussey Eyecare/ Eyedentity eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Ralph Sheets, M.D.
• Marsha Ann Sheffield, LPC
• Stephen John Sheinkopf, PHD
• Mary J Shellabarger, ACNS
• Shelley Ann Lyle DDS PC
• Laurie Ann Shellhart, FNP-BC
• Shelly M Ossana PHD LLC
• Sheltering Arms Day Center
• Darian Shelton
• James A Shelton, M.D.

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.