Provider Demographics
NPI:1760466171
Name:WILLIAMSON, JAMES F (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 E FLAMINGO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5116
Mailing Address - Country:US
Mailing Address - Phone:702-734-9600
Mailing Address - Fax:725-999-3781
Practice Address - Street 1:2090 E FLAMINGO RD STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5116
Practice Address - Country:US
Practice Address - Phone:702-734-9600
Practice Address - Fax:725-999-3781
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 8048152W00000X
NV640152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist