Provider Demographics
NPI:1215915616
Name:WILLIAMSON, CHRISTOPHER ERIC (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ERIC
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 DEL PRADO BLVD S
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7203
Mailing Address - Country:US
Mailing Address - Phone:239-542-2504
Mailing Address - Fax:
Practice Address - Street 1:3218 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7203
Practice Address - Country:US
Practice Address - Phone:239-542-2504
Practice Address - Fax:239-542-5633
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3065152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620226800Medicaid
FL620899100OtherMEDICAID GROUP
FL74821OtherBCBS FLORIDA GROUP
FL20736OtherBCBS FLORIDA
FL5302588OtherAETNA
FL9528016OtherCIGNA
FL20736Medicare PIN