Healthcare Provider Details

I. General information

NPI: 1326199381
Provider Name (Legal Business Name): JAMES A WILLIAMS O.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/06/2008
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: 972-516-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number03553TG
License Number StateTX

VIII. Authorized Official

Name: MS. AMY SPENCER
Title or Position: STAFF
Credential:
Phone: 972-516-0026