Active NPI
Sharon L Williams, OD
- Optometrist
- Tacoma, WA
National Provider Identifier
1104835636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001896
- Practice address
- 1708 Yakima Ave
Ste 100
Tacoma, WA 98405-5307 - Phone
- (253) 502-5965
- Fax
- (253) 593-8410
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001896 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Ste 100
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Ste 100
Tacoma, WA 98405-5307
Phone (253) 502-5965
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167395 | Other | WA | STATE L&I |
| 410039557 | Other | WA | RAILROAD |
| 8934255 | Other | WA | STATE CRIME VICTIMS |
| 0126526 | Other | WA | STATE L&I |
| 2011989 | Medicaid | WA | |
| 8928708 | Other | WA | STATE CRIME VICTIMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6314 19TH St W
Suite 1
Fircrest, WA 98466-6223
Phone (253) 566-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001896 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Garlick Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Franciscan Medical Group | Optometrist | Past | Accepting new patients |
Locations
6314 19th St W
Ste 1
Fircrest, WA 98466
Phone (206) 752-5501
Organizations & group practices 2
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.
-
- Optometrist
- Fircrest, WA
- NPI 1588798896
-
- Optometrist
- Tacoma, WA
- NPI 1356458921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1104835636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-502-5965",
"fax_number": "253-593-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-502-5965",
"fax_number": "253-593-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHARON",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0167395",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "410039557",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8934255",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0126526",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011989",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8928708",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.