Individual provider Active NPI

Micah Williams, O.D.

  • Optometrist
  • Elko, NV
National Provider Identifier
1194173294
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1009 Issued in NV
Practice address
2209 N 5TH St
Elko, NV 89801-2458
Phone
(775) 738-8491
Fax
(775) 738-3313
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9803296-9934 UT
Optometrist 152W00000X 1009 NV Primary

Addresses

Primary practice location

2209 N 5TH St
Elko, NV 89801-2458

Mailing address

2209 N 5TH St
Elko, NV 89801-2458
Phone (775) 738-8491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190906003181 NV Practitioner - Optometry 4183958887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colon and Alleman LTDGroup PAC ID 4880671320, 4 clinicians

Practice addresses (Care Compare)

2209 N 5TH St
Elko, NV 89801-2458
Phone (775) 738-8491

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9803296-9934UTMDOptometrist

Interoperability endpoints

  • Direct secure messaging: mwilliams@colonalleman.eyefinity-direct.com
  • Direct secure messaging: mwilliams@totaleyecare1.eyefinitydirect.com

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": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1194173294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012458",
            "telephone_number": "775-738-8491",
            "fax_number": "775-738-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012458",
            "telephone_number": "775-738-8491",
            "fax_number": "775-738-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9803296-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.