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Deactivated NPI 1437108784 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Williams , OD

Optometrist • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 06, 2006
NPI Deactivation Date June 30, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Williams, OD was a registered Optometrist practicing in Springfield, IL. Throughout an active medical career spanning 15 years, Dr. Williams provided care at the practice location at 2020 W ILES AVE until profile deactivation on 2021-06-30.

Practice Location & Contact Primary Location

Practice Address

2020 W Iles Ave

Springfield, IL 627044174

Telephone 2176983030
Fax 2176983068
Associated Practice Facility / Clinic
🏢 Prairie Eye Center, Ltd Facility NPI 1447222864

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Springfield, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1003298803

Doctor of Optometry

NPI 1043268386

Doctor of Medicine (M.D.)

NPI 1063862266

Doctor of Optometry

NPI 1114975414

Doctor of Medicine (M.D.)

NPI 1144279498

Doctor of Medicine (M.D.)

NPI 1235440777

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 30, 2021

Record deactivated on June 30, 2021

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2007

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627044174 (Tel: 2176983030)

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Updated Business Mailing Address September 04, 2007

Registered at 2020 W ILES AVE, SPRINGFIELD, IL 627044174 (Tel: 2176983030)

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Provider Name / Credentials Updated September 04, 2007

Recorded as LARRY WILLIAMS, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Optometrist

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Initial NPI Registration & Enumeration May 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437108784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2006
Last Update: September 04, 2007
Deactivation Date: June 30, 2021

Mailing Address

2020 W Iles Ave

Springfield, IL 627044174

Phone: 2176983030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.