Individual provider Active NPI

Jana L Williams, O.D.

  • Optometrist
  • Fort Sill, OK
National Provider Identifier
1396840609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2317 Issued in OK
Practice address
4301 Mow-Way Road
Rach, Attn: McUa-QC, Ms. Prescott
Fort Sill, OK 73503-6300
Phone
(580) 458-2134
Fax
(580) 458-2314
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2317 OK Primary

Addresses

Primary practice location

4301 Mow-Way Road
Rach, Attn: McUa-QC, Ms. Prescott
Fort Sill, OK 73503-6300

Mailing address

4301 Mow-Way Road
Rach, Attn: McUa-QC, Ms. Prescott
Fort Sill, OK 73503-6300
Phone (580) 458-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070910000211 OK Practitioner - Optometry 9436242336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Success Vision Express of Sand Springs, LLCGroup PAC ID 3274682927, 6 clinicians
Success Vision Express of Tulsa, LLCGroup PAC ID 4587713235, 6 clinicians

Practice addresses (Care Compare)

230 S Hwy 97
Suite B
Sand Springs, OK 74063-6571
Phone (918) 241-2020

7472 E Admiral PL
Tulsa, OK 74115-7913
Phone (918) 836-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2317OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Success Vision Express of Tulsa, LLC Optometrist CurrentSince Sep 9, 2022 Accepting new patients
Success Vision Express of Sand Springs, LLC Optometrist CurrentSince Sep 9, 2022 Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients
Cherokee Nation Past Accepting new patients
Dr. Samuel Presley & Associates, Inc. Optometrist PastSince Sep 9, 2022 Accepting new patients

Locations

230 S State Highway 97
#B
Sand Springs, OK 74063

230 S Highway 97
Ste B
Sand Springs, OK 74063
Phone (918) 241-2020

7472 E Admiral Pl
Tulsa, OK 74115
Phone (918) 834-2929

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 6

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396840609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "RACH, ATTN: MCUA-QC, MS. PRESCOTT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "RACH, ATTN: MCUA-QC, MS. PRESCOTT",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

Verify at the official NPI Registry.