Provider Type Icon

KELLY ANNE WILLIAMSON M.D. NPI 1114286614


NPI Information

NPI: 1114286614
Provider Name: KELLY ANNE WILLIAMSON, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: MOORE EYE CARE, P.C.

PECOS Registration: Yes

Address:
219 N BROAD ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 762-5612
Get Directions

Kelly Anne Williamson, M.D. is an ophthalmology in Philadelphia, PA with 12 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Kelly Anne Williamson, M.D. NPI is 1114286614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

219 N BROAD ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19107-519
Phone: (215) 762-5612
Fax: (215) 762-5602

The NPI 1114286614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 5/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD457807PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.