Gary O Williams (NPI# 1033211263, PAC ID# 4880771823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1033211263 |
| PAC ID by PECOS | 4880771823 |
| Professional Enrollment ID | I20080401000870 |
| Full Name | Gary O Williams |
| Address |
5353 Soutel Dr Suite B Jacksonville FL 32219-3492 |
| Phone Number | 9047660660 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5353 Soutel Dr, Suite B, Jacksonville, FL 32219-3492 | 9047660660 |
| Street Address |
5353 SOUTEL DR SUITE B |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32219-3492 |
| City | JACKSONVILLE |
| Zip Code | 32219 |
| Specialty | OPTOMETRY |
| City + Specialty | JACKSONVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.