Michael a. Williams, OD, SC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MICHAEL A. WILLIAMS, OD, SC

Practice address

1040 Collinsville Crossing Blvd
Collinsville, IL 62234-1882

Phone

(618) 343-1508

Fax

(618) 343-2083

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Williams, OD

Title

Optometrist

Phone

(618) 407-4260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1992270862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 COLLINSVILLE CROSSING BLVD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341882",
            "telephone_number": "618-343-1508",
            "fax_number": "618-343-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 COLLINSVILLE CROSSING BLVD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341882",
            "telephone_number": "618-343-1508",
            "fax_number": "618-343-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. WILLIAMS, OD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "618-407-4260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Collinsville, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.