Healthcare Provider Details

I. General information

NPI: 1225010804
Provider Name (Legal Business Name): JAMES CARLYLE WILLIAMS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 SW GAGE BLVD
TOPEKA KS
66604-3340
US

IV. Provider business mailing address

5120 SHAWGUEE RD
SAINT MARYS KS
66536-9806
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-8383
  • Fax:
Mailing address:
  • Phone: 785-437-6281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1360-3
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: