Provider Demographics
NPI:1568575959
Name:ANDREW S WILLIAMS M D
Entity Type:Organization
Organization Name:ANDREW S WILLIAMS M D
Other - Org Name:A. SYDNEY WILLIAMS AND ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SYDNEY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-431-9555
Mailing Address - Street 1:45 CASTRO ST STE 318
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1019
Mailing Address - Country:US
Mailing Address - Phone:415-431-9555
Mailing Address - Fax:415-431-9251
Practice Address - Street 1:45 CASTRO ST STE 318
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1019
Practice Address - Country:US
Practice Address - Phone:415-431-9555
Practice Address - Fax:415-431-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAU80826152W00000X
CAB75077207W00000X
CAI03555207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ03605ZOtherGROUP MEDICARE ID
CASD0111981Medicare ID - Type Unspecified
CA00G568631Medicare ID - Type Unspecified
CAI03555Medicare UPIN
CA00A867983Medicare ID - Type Unspecified
CAZZZ03605ZOtherGROUP MEDICARE ID
CAB75077Medicare UPIN