Provider Demographics
NPI:1962612051
Name:WILLIAMS FAMILY EYE CARE INC
Entity type:Organization
Organization Name:WILLIAMS FAMILY EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-356-1138
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-1833
Mailing Address - Country:US
Mailing Address - Phone:270-356-1138
Mailing Address - Fax:270-356-1139
Practice Address - Street 1:214 N 9TH STREET
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-1833
Practice Address - Country:US
Practice Address - Phone:270-356-1138
Practice Address - Fax:270-356-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64274236Medicaid
KY01482Medicare PIN
KY64274236Medicaid