Individual provider Active NPI

Brian Richard Williams, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1003477555
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3500 Issued in CO
Practice address
13955 E Mississippi Ave
Aurora, CO 80012-3692
Phone
(303) 695-4999
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3500 CO Primary

Addresses

Primary practice location

13955 E Mississippi Ave
Aurora, CO 80012-3692

Mailing address

13955 E Mississippi Ave
Aurora, CO 80012-3692
Phone (303) 695-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918001446 CO Practitioner - Optometry 6800126855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Eyeworks LLC 2 clinicians

Practice addresses (Care Compare)

2 W Victory Way
Craig, CO 81625-2606
Phone (970) 824-8307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3500COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Eyeworks LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Jul 29, 2019 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Jul 29, 2019 Accepting new patients
Lewis M. Cutter Jr., O.D. P.C. Optometrist PastSince Apr 27, 2016 Accepting new patients

Locations

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

2 W Victory Way
Craig, CO 81625
Phone (970) 824-8307

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

1755 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 879-2595

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1003477555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123692",
            "telephone_number": "303-695-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123692",
            "telephone_number": "303-695-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.