CHANDRA M WILLIAMS


Address: 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769
Phone: 9046962027

CHANDRA M WILLIAMS (NPI# 1720179997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720179997
Entity Type Individual
Full Name CHANDRA M WILLIAMS
Credential O.D.
Practice Address 12961 N Main St
Suite 203
Jacksonville
FL 32218-2769
Practice Telephone 9046962027
Practice Fax Number 9046962028
Mailing Telephone 9046962027
Mailing Fax Number 9046962028
Enumeration Date 2006-09-27
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OEG001840 FL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE RAILROAD P00462502 01
FL BCBS INDIVIDUAL ID 36102 01

Other Providers CHANDRA WILLIAMS

NPI Name Taxonomy Address Enumeration
1932547353 Chandra C Williams Counselor 504 Dudley Street, Roxbury, MA 02121 2013-06-07
1316265762 Chandra M Williams Behavioral Analyst 2370 Ridge Field Trl, Reno, NV 89523-6803 2010-05-10
1508851205 Chandra Rhodes Williams Dentist 111 S Belair Rd, Suite B, Martinez, GA 30907-9110 2005-09-19
1467050922 Chandra Renee Williams Social Worker 1625 Filbert St, Oakland, CA 94607-2890 2020-10-15
1497294102 Chandra Williams Nurse Practitioner 2429 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-1713 2017-02-14
1346579513 Chandra Williams Speech-Language Pathologist 1031 Avenida Pico Ste 201, San Clemente, CA 92673-6356 2009-12-16
1437297843 Chandra Monique Williams Social Worker 2640 Industry Way, Lynwood, CA 90262-4284 2007-02-01
1821065061 Chandra Robinson Williams Pediatrics 511 W Alexander St, Suite 2, Plant City, FL 33563-7116 2006-03-07

Office Location

Street Address 12961 N MAIN ST
SUITE 203
City JACKSONVILLE
State FL
Zip Code 32218-2769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922003342 Kimberly Ann Segler Occupational Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2005-06-14
1952760225 Nicolette Kelley Physical Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2016-02-16
1669857959 Kurtis P Mullaney Physical Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2015-07-28
1972985075 Justin Carmel Physical Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2015-06-24
1568706406 Meghan E Kettles Physical Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2012-11-15
1649504804 River City Vision Center Pa Optometrist 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769 2009-09-21
1154581379 Jacksonville Orthopaedic Institute Inc Specialist/Technologist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2008-06-11
1720198435 Peter A Conrique Physical Therapist 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684170 Damon Lamar Baker Nurse Practitioner 12533 Sampson Rd, Jacksonville, Fl, FL 32218 2020-09-21
1578199303 First Coast Health Ventures, LLC Skilled Nursing Facility 15480 Max Leggett Parkway, Jacksonville, FL 32218 2020-03-12
1932679594 Alaina Rachelle Stanley Counselor 11683 Spring Board Dr, Jacksonville, FL 32218 2018-11-27
1508345133 War Cry Ministry Inc Counselor 435 Eric Ave, Jacksonville, FL 32218 2018-08-14
1285111484 St Vincent's Full Service Urgent Care, LLC Clinic/Center 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 2018-07-20
1427544501 Derrick Roberts Behavioral Analyst 11302 Forestdale Rd, Jacksonville, FL 32218 2018-07-02
1215420229 Companion & Compassion LLC Home Health 856 Poydras Ln W, Jacksonville, FL 32218 2018-06-13
1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
1235629445 Melissa C Moree Counselor 13453 Main St. North, Suite 104, Jacksonville, FL 32218 2018-05-14
1861900896 Sheila Nowlin Physical Therapist 1034 Dunn Ave, Jacksonville, FL 32218 2018-01-11
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215553367 Myeyedr Optometry of Florida, LLC Optometrist 2152 3rd St S # 60, Jacksonville, FL 32250-4019 2020-06-24
1154945814 Kaitlin Jaquett Brown Optometrist 4788 Hodges Blvd Ste 205, Jacksonville, FL 32224-7223 2020-05-29
1831745660 National Vision Inc Optometrist 14021 Lunar Drive, Unit 1, Jacksonville, FL 32218-7290 2019-08-16
1144876475 Myeyedr Optometry of Florida, LLC Optometrist 11945 San Jose Blvd Ste 202, Jacksonville, FL 32223-1612 2019-08-13
1295294742 Myeyedr Optometry of Florida, LLC Optometrist 13760 Old Saint Augustine Rd Ste 102, Jacksonville, FL 32258-5492 2019-03-14
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1356820211 Nisha Patel Optometrist 10300 Southside Blvd Ste 114, Jacksonville, FL 32256-6759 2018-08-11
1538650155 Vision Today Pllc Optometrist 9365-2 Atlantic Blvd, Jacksonville, FL 32225-8203 2018-05-21
1447765748 Sudduth Vision Pllc Optometrist 8000 Parramore Rd., Jacksonville, FL 32244 2017-12-08
1851806657 Ann Huynh Nguyen Optometrist 9041 Southside Blvd Ste 174, Jacksonville, FL 32256-8482 2017-12-04
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32218

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Dataset Information

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.

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