Individual provider Active NPI

Caia Dawn Homerstad Williams, O.D.

  • Optometrist
  • Victoria, TX
National Provider Identifier
1649218355
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5250TG Issued in TX
Practice address
107 James Coleman Dr
Victoria, TX 77904-3100
Phone
(361) 578-0234
Fax
(361) 578-3812
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5250TG TX Primary

Addresses

Primary practice location

107 James Coleman Dr
Victoria, TX 77904-3100

Mailing address

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

Other names 1

  • Caia Dawn Homerstad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060308000052 TX Practitioner - Optometry 0345257929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Eye Center PAGroup PAC ID 8921025016, 11 clinicians

Practice addresses (Care Compare)

106 Wilshire Dr
Victoria, TX 77904-1854

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

1308 N Main St
Victoria, TX 77901-5911
Phone (361) 703-5033

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caia D. Homerstad OD PLLC Optometrist CurrentSince Mar 1, 2014 Accepting new patients
Victoria Eye Center PA CurrentSince May 1, 1995 Accepting new patients
Victoria Vision Center LLC PastSince May 1, 1995 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Faye N. Tupa, O.D., P.C. Optometrist PastSince Jan 1, 2008 Accepting new patients

Locations

209 N Esplanade St
Cuero, TX 77954
Phone (361) 275-5168

7508 N Navarro St
Victoria, TX 77904
Phone (361) 212-4308

107 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

1308 N Main St
Victoria, TX 77901
Phone (361) 582-4966

1308 N Main St
Ste A
Victoria, TX 77901

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: caia.homerstad@direct.victoriaeyecenter.nextgenshare.com

Organizations & group practices 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1649218355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMERSTAD WILLIAMS",
        "first_name": "CAIA",
        "middle_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5250TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAIA",
            "last_name": "HOMERSTAD",
            "middle_name": "DAWN",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.