DR. MARK P WILLIAMS (NPI# 1518015759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518015759 |
| Entity Type | Individual |
| Full Name | DR. MARK P WILLIAMS |
| Credential | O.D. |
| Practice Address |
4067 E Court St #10-11 Burton MI 48509-2509 |
| Mailing Address |
4067 E Court St # 10-11 Burton MI 48509-2509 |
| Practice Telephone | 8107152020 |
| Practice Fax Number | 8107152021 |
| Mailing Telephone | 8107152020 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
4901002607 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCLAREN PROVIDER NUMBER | 202115 | 01 |
| MI | BCBS PROVIDER NUMBER | 900B56586 | 01 |
| MI | ALL OTHER INS | 382219845 | 01 |
| MI | 945104868 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1427435858 | Mark Williams | Physical Therapy Assistant | 1160 Woodwind Dr, Talbott, TN 37877-8357 | 2015-05-06 |
| 1841590361 | Mark Lee Williams | Chiropractor | 1786 N Mills Ave, Orlando, FL 32803-1852 | 2010-11-01 |
| 1396075214 | Mark S. Williams | Dentist | 673 Exton Cmns, Exton, PA 19341-2446 | 2009-12-29 |
| 1144455684 | Mark X. Williams | Ambulance | 6576 Pine Top Cir S, Memphis, TN 38141-7800 | 2009-05-28 |
| 1861649642 | Mark Edwin Williams | Physician Assistant | 9714 Healthway Dr # Drl, Berlin, MD 21811-1154 | 2008-08-22 |
| 1578723342 | Mark Thomas Williams | Dentist | 14815 Highland Dr, Mc Kenzie, TN 38201-6228 | 2008-06-14 |
| 1255511515 | Mark Williams | Pharmacist | 1744 Bard Ln, East Meadow, NY 11554-1506 | 2007-11-05 |
| 1104039379 | Mark Thomas Williams | Psychologist | 1615 Haslett Rd, Williamston, MI 48895-9498 | 2007-05-07 |
| 1538291737 | Mark Thomas Williams | Chiropractor | 1219 Watervliet Ave, Dayton, OH 45420-2705 | 2007-03-12 |
| Street Address |
4067 E COURT ST #10-11 |
| City | BURTON |
| State | MI |
| Zip Code | 48509-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265482632 | Ross H Williams | Optometrist | 4067 E Court St, Suite 10, Burton, MI 48509-2509 | 2006-05-10 |
| 1417054891 | Ross H Williams Od, PC | Optometrist | 4067 E Court St, Siute 10, Burton, MI 48509-2509 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437233 | Rosedale Vision | Optometrist | 19950 Grand River, Detroit, MI 48223-4822 | 2017-10-03 |
| 1114373727 | Linden Family Eyecare PC | Optometrist | 123 E Broad St, Linden, MI 48451-9126 | 2016-05-12 |
| 1396128039 | Mary Darlene Neely | Optometrist | 3756 15th St, Ecorse, MI 48229-1332 | 2015-06-30 |
| 1043430317 | Dennis Dwayne Cobler | Optometrist | 1045 Camelot Dr, N Muskegon, MI 49445-2029 | 2007-04-27 |
| 1821001389 | Lori Ann Smolinski | Optometrist | 42 Country Club Rd, Holland, MI 49423-6605 | 2006-08-15 |
| 1699785626 | Association for The Blind & Visually Impaired | Optometrist | 456 Cherry St Se, Grand Rapids, MI 49503-4626 | 2006-08-09 |
| 1033565213 | Stony Creek Eye Care Pllc | Optometrist | 8703 26 Mile Rd, Washington, MI 48094-2967 | 2016-05-06 |
| 1053753368 | Homebound Eye Care | Optometrist | 11745 Forest Dr, Pinckney, MI 48169-9538 | 2013-07-28 |
| 1346303856 | Jennifer Ann Wong | Optometrist | 28825 Ryan Rd, Warren, MI 48092-4128 | 2006-12-18 |
Please comment or provide details below to improve the information on DR. MARK P WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.