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NPI Code Detail

MEDICARE: WILLIAMS EYE INSTITUTE, PC

MEDICARE: WILLIAMS EYE INSTITUTE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center010110IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689670390
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS EYE INSTITUTE, PC
Provider Business Mailing Address
First Line : 9797 MASSACHUSETTS ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-0278
Country : US
Telephone Number : 219-736-2200
Fax Number : 219-937-5093
Provider Business Practice Location Address
First Line : 6836 HOHMAN AVENUE
Second Line :
City : HAMMOND
State : IN
Zip : 46324-1410
Country : US
Telephone Number : 219-937-5063
Fax Number : 219-937-5093
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS PAUL WILLIAMS
Credential :
Telephone Number : 219-736-2200
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/09/2024

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