Active NPI
Cindy Jeanne Williams, O.D.
- Optometrist
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000870
- Practice address
- 309 Garner Street
Oxford, MS 38655 - Phone
- (678) 357-3648
- Fax
- (770) 938-2943
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000870 | GA | |
| Corneal and Contact Management Optometrist | 152WC0802X | OPT000870 | GA | |
| Optometrist | 152W00000X | 000870 | GA | Primary |
Addresses
Primary practice location
309 Garner Street
Oxford, MS 38655
Mailing address
P.O. Box 1196
Oxford, MS 38655-1196
Phone (678) 357-3648
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581439323 | Other | GA | CIGNA |
| 581439323 | Other | GA | VISION SERVICE PLAN |
| 581439323 | Other | GA | AVESIS |
| 581439323 | Other | GA | PHCS |
| 581439323 | Other | GA | TRICARE |
| GA0870 | Other | GA | EYEMED VISION |
| 581439323 | Other | GA | AETNA |
| 581439323 | Other | GA | VISION CARE PLAN |
| 000473118A | Medicaid | GA | |
| 581439323 | Other | GA | UNICARE |
| 581439323 | Other | GA | BLUE CROSS BLUE SHIELD |
| 581439323 | Other | GA | FIRST HEALTH |
Other names 1
- Cindy Jeanne Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000870 | GA | MD | Marriage & Family Therapist |
| OPT000870 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Eye 1St Holdings LLC | Optometrist | Past | Accepting new patients |
Locations
2184 Henderson Mill Rd NE
Ste 12B
Atlanta, GA 30345
Phone (770) 491-1255
2184 Henderson Mill Rd NE
#12B
Atlanta, GA 30345
Phone (770) 938-2923
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1033160403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1196",
"city": "OXFORD",
"state": "MS",
"postal_code": "386551196",
"telephone_number": "678-357-3648",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 GARNER STREET",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "678-357-3648",
"fax_number": "770-938-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CINDY",
"middle_name": "JEANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000870",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "OPT000870",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "000870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION",
"identifier": "GA0870",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION CARE PLAN",
"identifier": "581439323",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000473118A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "581439323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "581439323",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "STEWART",
"middle_name": "JEANNE",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.