Individual provider Active NPI

Benjamin Eric Williams, OD

  • Optometrist
  • Washington, IA
National Provider Identifier
1598736928
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02265 Issued in IA
Practice address
301 S Iowa Ave
Washington, IA 52353-1747
Phone
(319) 653-2371
Fax
(319) 653-6070
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02265 IA Primary

Addresses

Primary practice location

301 S Iowa Ave
Washington, IA 52353-1747

Mailing address

301 S Iowa Ave
Washington, IA 52353-1747
Phone (319) 653-2371

Other identifiers 1

IdentifierTypeStateIssuer
1297176MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060125000249 IA Practitioner - Optometry 1153345467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas D Lowe, OD PCGroup PAC ID 7517972680, 3 clinicians

Practice addresses (Care Compare)

301 S Iowa Ave
Washington, IA 52353-1747

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02265IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas D Lowe, OD PC Optometrist CurrentSince Jan 1, 2006 Accepting new patients

Locations

301 S Iowa Ave
Washington, IA 52353
Phone (319) 653-2371

Interoperability endpoints

  • Direct secure messaging: bwilliams@modeyecare.eyefinitydirect.com

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1598736928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531747",
            "telephone_number": "319-653-2371",
            "fax_number": "319-653-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531747",
            "telephone_number": "319-653-2371",
            "fax_number": "319-653-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BENJAMIN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1297176",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.