Individual provider Active NPI

Margot Williams, OD

  • Optometrist
  • Port Angeles, WA
National Provider Identifier
1497064604
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60093513 Issued in WA
Practice address
3411 E Kolonels Way
Wal-Mart Vision Center
Port Angeles, WA 98362-9089
Phone
(360) 452-6131
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60093513 WA Primary

Addresses

Primary practice location

3411 E Kolonels Way
Wal-Mart Vision Center
Port Angeles, WA 98362-9089

Mailing address

562 Kitchen Dick Rd
Sequim, WA 98382-9422
Phone (949) 887-8966

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000414 WA Practitioner - Optometry 4385820927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margot Williams OD PLLCGroup PAC ID 1456579986, 2 clinicians

Practice addresses (Care Compare)

3411 E Kolonels Way
Port Angeles, WA 98362-9089
Phone (360) 452-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60093513WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Margot Williams, OD, PLLC Optometrist CurrentSince Apr 1, 2014 Accepting new patients

Locations

3411 E Kolonels Way
Port Angeles, WA 98362
Phone (360) 452-3105

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1497064604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 KITCHEN DICK RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983829422",
            "telephone_number": "949-887-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 E KOLONELS WAY",
            "address_2": "WAL-MART VISION CENTER",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629089",
            "telephone_number": "360-452-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARGOT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60093513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.