Joshua Williams

Primary specialty

OptometristTaxonomy code 152W00000X

License

4033 Issued in MN

Practice address

3480 Bunker Lake Blvd NW Ste 101
Andover, MN 55304-3669

Phone

(763) 712-9854

NPI assigned

Nov 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey W. Williams, O.D. and Associates, PAGroup PAC ID 6709781180, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jeffrey W. Williams, O.D. & Associates, PA

  • Eyewear Supplier
  • New Richmond, WI
  • NPI 1265502272

  MN

  Medicare reassignment Care Compare group NPD
• Conrad Eye Services, PLC

  • Ophthalmologic Surgery Clinic/Center
  • North Oaks, MN
  • NPI 1649379132
  NPD (past)

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1104796473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 LONDON ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 BUNKER LAKE BLVD NW STE 101",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043669",
            "telephone_number": "763-712-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Wickoren
• Teri Ann Wiege, RPH
• Wildflower Therapy Services
• Joseph Aaron Gray Wilkie, PA-C
• Adelle Williams
• Kathryn Rose Williams, PT, DPT
• Emily Wilson
• Mark H Winholtz
• Kimberley Wobschall, MA, LMFT
• Benjamin J Wolf, LICSW

• Optometrist in Andover, MN
• Providers in Andover, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.