Mason Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2718 Issued in NC

Practice address

197 Medical Park Rd Ste 101
Mooresville, NC 28117-8604

Phone

(704) 799-2233

NPI assigned

May 22, 2018

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 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

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Norman Eye OD PAGroup PAC ID 7012934045, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Norman Eye OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1730363144
  Medicare reassignment Care Compare group NPD
• NC Doctors of Optometry PLLC

  • Optometrist
  • Greensboro, NC
  • NPI 1366047037
  Medicare reassignment NPD
• Brian Colletto OD, Inc

  • Optometrist
  • Rock Hill, SC
  • NPI 1356485346
  Medicare reassignment NPD
• NC Doctors of Optometry PLLC

  • Eyewear Supplier
  • Charlotte, NC
  • NPI 1104572213

  Optometrist

  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1629569082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GAELIC DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252833",
            "telephone_number": "224-345-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 MEDICAL PARK RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178604",
            "telephone_number": "704-799-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011282",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B. Curtis, Jr. DMD, PLLC (Curtis Family Dentistry)
• Caitlin Williams
• Kathy Marie Williams, CCC-SLP
• Kelly Beth Williams, FNP
• Lisa Marie Williams, LCSW
• Paul H. Williams, DDS
• Princess Nicole Williams, MD
• Randall P Williams, MD
• Shari Fai Williams
• Takariah Willis-Finney, LCMHCA, NCC

• Optometrist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.