Individual provider Active NPI

Ann Austin Williams, O. D.

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1669524278
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
508 Issued in MS
Practice address
600 W Pine St
Hattiesburg, MS 39401-3834
Phone
(601) 545-2020
Fax
(601) 583-0120
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 508 MS Primary

Addresses

Primary practice location

600 W Pine St
Hattiesburg, MS 39401-3834

Mailing address

PO Box 1508
Hattiesburg, MS 39403-1508
Phone (601) 545-2020

Other identifiers 1

IdentifierTypeStateIssuer
00087064MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080211000001 MS Practitioner - Optometry 2062317944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Optometric Clinic, PAGroup PAC ID 0143303503, 2 clinicians

Practice addresses (Care Compare)

600 W Pine St
Hattiesburg, MS 39401-3834
Phone (601) 545-2020

62 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-4550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Community Dental Center CurrentSince Dec 15, 2014 Accepting new patients
Sumrall Family Health Center Current Accepting new patients
Women'S Health Center CurrentSince Dec 15, 2014 Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients
Lamar County School Clinic Past Accepting new patients
Restore Oculoplastics Gulf Coast Past Accepting new patients
Semrhi Support Service Center Past Accepting new patients

Locations

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550

Interoperability endpoints

  • Direct secure messaging: awilliams99115@directpatientrecord.com

Organizations & group practices 8

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1669524278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031508",
            "telephone_number": "601-545-2020",
            "fax_number": "601-583-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013834",
            "telephone_number": "601-545-2020",
            "fax_number": "601-583-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANN",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087064",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.