Individual provider Active NPI

Susan Williams

  • Optometrist
  • Texarkana, TX
National Provider Identifier
1083074363
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8924 Issued in TX
Practice address
2703 Richmond Rd
Texarkana, TX 75503-2328
Phone
(903) 838-0783
Fax
(903) 831-6145
NPI assigned
Mar 1, 2016
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8924 TX Primary
Optometrist 152W00000X 2733 AR

Addresses

Primary practice location

2703 Richmond Rd
Texarkana, TX 75503-2328

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160917000368 AR Practitioner - Optometry 9032406186 Reassigns benefits to 1 organization
I20160917000390 TX Practitioner - Optometry 9032406186 Reassigns benefits to 2 organizations
I20160917000408 OK Practitioner - Optometry 9032406186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, shared by 16 NPIs, 234 clinicians
Wiggins Eye Center PLLCGroup PAC ID 3870740178, 3 clinicians

Practice addresses (Care Compare)

114 E 49TH St
Med Southwest PLLC Dba Texarkana E
Texarkana, AR 71854-2117
Phone (870) 774-2020

1727 Galleria Oaks Dr
Texarkana, TX 75503-4648
Phone (903) 792-2020

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2913OKMDProfessional Counselor
2733ARMDOptometrist
8924TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Wiggins Eye Center, PLLC CurrentSince May 5, 2024 Accepting new patients
Texarkana Eye Associates Optometrist PastSince Apr 10, 2022 Accepting new patients
Eye Centers of North Texas, PLLC PastSince May 5, 2024 Accepting new patients

Locations

410 N Main St
Ste 3
Nashville, AR 71852
Phone (501) 642-2677

114 E 49th St
Texarkana, AR 71854
Phone (870) 774-2020

511 S Park Dr
Ste A
Broken Bow, OK 74728
Phone (580) 584-3434

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

1606 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-4000

1727 Galleria Oaks Dr
Texarkana, TX 75503
Phone (214) 360-4959

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 10

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1083074363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032328",
            "telephone_number": "903-838-0783",
            "fax_number": "903-831-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8924",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.