MEDICARE: DR. JAMES ISAAC WILLIAMS 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	7985T	TX

General Provider Information

NPI Number	:	1639434137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ISAAC WILLIAMS O.D.

Provider Business Mailing Address
First Line	:	438 LAKEFIELD DR
Second Line	:
City	:	MURPHY
State	:	TX
Zip	:	75094-4286
Country	:	US
Telephone Number	:	214-883-1380
Fax Number	:

Provider Business Practice Location Address
First Line	:	8611 HILLCREST AVE
Second Line	:	SUITE 140
City	:	DALLAS
State	:	TX
Zip	:	75225-4203
Country	:	US
Telephone Number	:	214-739-8611
Fax Number	:

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

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	08/08/2016

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