Provider Demographics
NPI:1861663981
Name:WILLIAMSON EYE PARTNERS, PLLC
Entity Type:Organization
Organization Name:WILLIAMSON EYE PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-472-8394
Mailing Address - Street 1:1033 CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2755
Mailing Address - Country:US
Mailing Address - Phone:931-486-2748
Mailing Address - Fax:931-486-3774
Practice Address - Street 1:1033 CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2755
Practice Address - Country:US
Practice Address - Phone:931-486-2748
Practice Address - Fax:931-486-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2737152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty