Individual provider Active NPI

Hayley Williams, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1467834739
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2004 Issued in KS
Practice address
501 E Pawnee St
Wichita, KS 67211-4944
Phone
(316) 239-1009
Fax
(316) 462-9706
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004 KS Primary

Addresses

Primary practice location

501 E Pawnee St
Wichita, KS 67211-4944

Mailing address

501 E Pawnee St
Wichita, KS 67211-4944
Phone (316) 239-1009

Other identifiers 1

IdentifierTypeStateIssuer
201226900BMedicaidKS

Other names 1

  • Hayley George Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160523002007 TX Practitioner - Optometry 5991094450 Reassigns benefits to 1 organization
I20180529000082 KS Practitioner - Optometry 5991094450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 E Pawnee St
Wichita, KS 67211-4944
Phone (316) 239-1009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8677TXMDDental Hygienist
2004KSMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Hayley Williams, Optometrist LLC Optometrist CurrentSince Apr 2, 2018 Accepting new patients

Locations

7700 E Kellogg Dr
Wichita, KS 67207
Phone (316) 681-1171

501 E Pawnee St
Wichita, KS 67211
Phone (316) 239-1009

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1467834739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114944",
            "telephone_number": "316-239-1009",
            "fax_number": "316-462-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114944",
            "telephone_number": "316-239-1009",
            "fax_number": "316-462-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HAYLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201226900B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "GEORGE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.