Susan L Williams (NPI# 1083074363, PAC ID# 9032406186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083074363 |
| PAC ID by PECOS | 9032406186 |
| Professional Enrollment ID | I20160917000368 |
| Full Name | Susan L Williams |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Address |
114 E 49th St Med Southwest Pllc Dba Texarkana E Texarkana AR 71854-2117 |
| Phone Number | 8707742020 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082952874 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 511 S Park Dr A, Med Southwest Pllc Dba Texarkana E, Broken Bow, OK 74728-5329 | 5805843434 | MED SOUTHWEST PLLC |
| 114 E 49th St, Med Southwest Pllc Dba Texarkana E, Texarkana, AR 71854-2117 | 8707742020 | MED SOUTHWEST PLLC |
| Organization Legal Name | MED SOUTHWEST PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Greenan | Optometry | Med Southwest Pllc | 2510 N Hervey St, Med Southwest Pllc Dba Texarkana E, Hope, AR 71801-8419 |
| Thomas M Dvorak | Optometry | Med Southwest Pllc | 1606 S Jefferson Ave, Mt Pleasant, TX 75455-5614 |
| James S Simpson | Optometry | Med Southwest Pllc | 310 Thompson Ave, El Dorado, AR 71730-4569 |
| Clemit W Liles Iii | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Donald R Glenz | Optometry | Med Southwest Pllc | 6127 Fm 1960 Rd W, Houston, TX 77069-4106 |
| Brad R Aaron | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Nicholas Joseph Mccolley | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Clemit W Liles Jr. | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
| Elvin W Fenton | Optometry | Med Southwest Pllc | 2703 Richmond Rd, Texarkana, TX 75503-2328 |
| Tiffaney J Tregellas | Optometry | Med Southwest Pllc | 8329 Whitley Rd, Watauga, TX 76148-2483 |
| Street Address |
114 E 49TH ST MED SOUTHWEST PLLC DBA TEXARKANA E |
| City | TEXARKANA |
| State | AR |
| Zip | 71854-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kizer Contrel Neal | Clinical Social Worker | 4613 Pkwy Dr, Suite 5, Texarkana, AR 71854-1142 | |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Matthew W Nix | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Mylene Crouthamel | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Sondra G Bedwell | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Russell E Mayo | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Cheryl K Verma | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Michael R Downs | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Kathryn E Brannan | Nurse Practitioner | C H Wilkinson Physician Network | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Find all physicians in zip 71854 | |||
| City | TEXARKANA |
| Zip Code | 71854 |
| Specialty | OPTOMETRY |
| City + Specialty | TEXARKANA + 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.