Healthcare Provider Details

I. General information

NPI: 1144299538
Provider Name (Legal Business Name): JAMES ARTHUR WILLIAMS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 N CENTRAL EXPY SUITE 1145
PLANO TX
75075-8815
US

IV. Provider business mailing address

811 N CENTRAL EXPY SUITE 1145
PLANO TX
75075-8815
US

V. Phone/Fax

Practice location:
  • Phone: 972-516-0026
  • Fax: 972-516-0609
Mailing address:
  • Phone: 972-516-0026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number03553TG
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number03553TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: