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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
1207W00000XOphthalmology Physician

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 : 1528778131
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 : 219-937-5094
Provider Business Practice Location 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 : 219-736-2222
Authorized Official
Title or Position : PRESIDENT
Name : DOUGLAS P WILLIAMS MD
Credential :
Telephone Number : 219-736-2200
Provider Enumeration Date : 12/05/2022
Last Update Date : 10/09/2024

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Directions to “WILLIAMS EYE INSTITUTE, PC ” Practice Location

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