DR. MARK P WILLIAMS O.D. NPI 1518015759

NPI Information

NPI: 1518015759
Provider Name: DR. MARK P WILLIAMS, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
4067 E COURT ST
#10-11
BURTON, MI
ZIP 48509
Phone: (810) 715-2020
Get Directions

DR. Mark P Williams, O.D. is a low vision rehabilitation optometrist in Burton, MI with 47 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Mark P Williams, O.D. NPI is 1518015759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year:1977

The provider's business location address is:

4067 E COURT ST
#10-11
BURTON, MI
ZIP 48509-509
Phone: (810) 715-2020
Fax: (810) 715-2021

The NPI 1518015759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/6/2007 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		4901002607	MICHIGAN	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	4901002607	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	945104868	MEDICAID	MICHIGAN
2	202115	OTHER	MICHIGAN	MCLAREN PROVIDER NUMBER
3	382219845	OTHER	MICHIGAN	ALL OTHER INS
4	900B56586	OTHER	MICHIGAN	BCBS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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