Individual provider Active NPI

Sarah Ann Stevenson Williford, OD

  • Optometrist
  • Decatur, GA
National Provider Identifier
1073196093
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003483 Issued in GA
Practice address
216 Church St
Decatur, GA 30030-3328
Phone
(404) 378-3694
Fax
(404) 372-0741
NPI assigned
Apr 29, 2021
Last updated
Jan 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E86 AL
Optometrist 152W00000X OPT003483 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

216 Church St
Decatur, GA 30030-3328

Mailing address

216 Church St
Decatur, GA 30030-3328
Phone (404) 378-3694

Other practice location 1

105 Brookridge Dr Ste F
Madison, AL 35758-7577
Phone (866) 693-9336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210630001439 AL Practitioner - Optometry 6901207745 Reassigns benefits to 1 organization
I20230216001637 GA Practitioner - Optometry 6901207745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Church St
Decatur, GA 30030-3328
Phone (404) 378-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E86ALMDOptometrist
OPT003483GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Jul 7, 2021 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Jul 7, 2021 Accepting new patients
Reagin Decatur Group, LLC CurrentSince Jan 8, 2023 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

823 6th Ave SE
Decatur, AL 35601
Phone (256) 353-1871

445 Providence Main St NW
Ste 102
Huntsville, AL 35806
Phone (256) 722-5425

105 Brookridge Dr
Ste F
Madison, AL 35758
Phone (256) 325-9465

216 Church St
Decatur, GA 30030
Phone (404) 378-3694

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1073196093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303328",
            "telephone_number": "404-378-3694",
            "fax_number": "404-372-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303328",
            "telephone_number": "404-378-3694",
            "fax_number": "404-372-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Brookridge Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357587577",
            "country_code": "US",
            "telephone_number": "866-693-9336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "SARAH",
        "middle_name": "ANN STEVENSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E86",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003483",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.