Provider Demographics
NPI:1033160403
Name:WILLIAMS, CINDY JEANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:JEANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:JEANNE
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:P.O. BOX 1196
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-1196
Mailing Address - Country:US
Mailing Address - Phone:678-357-3648
Mailing Address - Fax:866-795-4020
Practice Address - Street 1:309 GARNER STREET
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:678-357-3648
Practice Address - Fax:770-938-2943
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT000870152W00000X, 152WC0802X
GA000870152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA581439323OtherCIGNA
GA581439323OtherVISION SERVICE PLAN
GA581439323OtherAVESIS
GA581439323OtherPHCS
GA581439323OtherTRICARE
GAGA0870OtherEYEMED VISION
GA581439323OtherAETNA
GA581439323OtherVISION CARE PLAN
GA000473118AMedicaid
GA581439323OtherUNICARE
GA581439323OtherBLUE CROSS BLUE SHIELD
GA581439323OtherFIRST HEALTH
GAU20344Medicare UPIN