Individual provider Active NPI

Debbie Kaye Williams, O.D.

  • Optometrist
  • Whitesburg, KY
National Provider Identifier
1073649430
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1161DT Issued in KY
Practice address
19 Solomon Rd
Whitesburg, KY 41858-7201
Phone
(606) 633-4481
Fax
(606) 633-0207
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1161DT KY Primary

Addresses

Primary practice location

19 Solomon Rd
Whitesburg, KY 41858-7201

Mailing address

19 Solomon Rd
Whitesburg, KY 41858-7201
Phone (606) 633-4481

Other identifiers 1

IdentifierTypeStateIssuer
77011617MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120320000460 KY Practitioner - Optometry 8628167475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Solomon Rd
Whitesburg, KY 41858-7201
Phone (606) 633-4481

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
D K Williams PSC Optometrist CurrentSince Jan 1, 1989 Accepting new patients

Locations

92 Holly Hills Mall Rd
Hindman, KY 41822
Phone (606) 633-4481

6800 US Highway 23 S
Ste 6
Pikeville, KY 41501
Phone (606) 633-4481

19 Solomon Rd
Whitesburg, KY 41858
Phone (606) 633-4481

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1073649430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOLOMON RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587201",
            "telephone_number": "606-633-4481",
            "fax_number": "606-633-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SOLOMON RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587201",
            "telephone_number": "606-633-4481",
            "fax_number": "606-633-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEBBIE",
        "middle_name": "KAYE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1161DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011617",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.