Individual provider Active NPI

Valerie Elizabeth Williams, OD

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1326611823
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009523 Issued in NY
Practice address
242 Mason Ave FL 2
Staten Island, NY 10305-3408
Phone
(718) 226-6919
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1043 NH
Optometrist 152W00000X 009523 NY Primary

Addresses

Primary practice location

242 Mason Ave FL 2
Staten Island, NY 10305-3408

Mailing address

1884 Victory Blvd
Staten Island, NY 10314-3514
Phone (718) 273-5000

Other practice location 1

1884 Victory Blvd
Staten Island, NY 10314-3514
Phone (718) 273-5000

Other practice location 2

304 Sheep Davis Rd
Concord, NH 03301-5736
Phone (603) 573-9463

Other practice location 3

1884 Victory Blvd
Staten Island, NY 10314-3514
Phone (718) 619-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000645 NY Practitioner - Ophthalmology 5092190702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1884 Victory Blvd
Staten Island, NY 10314-3514
Phone (718) 273-5000

242 Mason Ave
Staten Island, NY 10305-3408
Phone (718) 226-6832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009523NYMDOptometrist
1043NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Eye Works, Inc Optometrist CurrentSince Apr 27, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 25, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 25, 2022 Accepting new patients
Physicians of University Hospital, PC PastSince Sep 1, 2022 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

242 Mason Ave
Fl 2
Staten Island, NY 10305
Phone (718) 226-6377

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1884 Victory Blvd
Staten Island, NY 10314
Phone (646) 643-5951

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: vwilliams61759@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1326611823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143514",
            "telephone_number": "718-273-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MASON AVE FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053408",
            "telephone_number": "718-226-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1884 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143514",
            "country_code": "US",
            "telephone_number": "718-273-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Sheep Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015736",
            "country_code": "US",
            "telephone_number": "603-573-9463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1884 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143514",
            "country_code": "US",
            "telephone_number": "718-619-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1043",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.