MEDICARE: DR. CHRISTOPHER ERIC WILLIAMSON O.D.

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
1	152W00000X	Optometrist	OPC 3065	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	74821	OTHER	FL	BCBS FLORIDA GROUP
4	20736	OTHER	FL	BCBS FLORIDA
5	5302588	OTHER	FL	AETNA
6	9528016	OTHER	FL	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215915616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ERIC WILLIAMSON O.D.

Provider Business Mailing Address
First Line	:	3218 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7203
Country	:	US
Telephone Number	:	239-542-2504
Fax Number	:

Provider Business Practice Location Address
First Line	:	3218 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7203
Country	:	US
Telephone Number	:	239-542-2504
Fax Number	:	239-542-5633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	09/03/2023

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