Individual provider Active NPI

Rebecca Ruth Williams, O.D.

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1538473012
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1808DT Issued in KY
Practice address
1705 N Dixie Hwy
Elizabethtown, KY 42701-5506
Phone
(270) 765-2020
Fax
(502) 736-4490
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1808DT KY Primary

Addresses

Primary practice location

1705 N Dixie Hwy
Elizabethtown, KY 42701-5506

Mailing address

3801 Bishop LN
Louisville, KY 40218-2905
Phone (502) 813-3341

Other names 1

  • Rebecca Ruth Baxter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20121127000051 KY Practitioner - Optometry 5496906315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

1609 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-7494
Phone (270) 765-7372

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1808DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Tri-State Doctors of Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1609 N Dixie Ave
Ste 1000
Elizabethtown, KY 42701

2618 Ring Rd
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-1128

109 S Walters Ave
Hodgenville, KY 42748
Phone (270) 358-4157

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

5047 Shelbyville Rd
St Matthews, KY 40207
Phone (502) 293-5340

Interoperability endpoints

  • Direct secure messaging: rebeccawilliams@direct.eyecare-partners.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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1538473012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISHOP LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182905",
            "telephone_number": "502-813-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N DIXIE HWY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015506",
            "telephone_number": "270-765-2020",
            "fax_number": "502-736-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1808DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BAXTER",
            "middle_name": "RUTH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.