Individual provider Active NPI

Katie Nicole Willis, OD

  • Optometrist
  • Alabaster, AL
National Provider Identifier
1679458335
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F60-TA-D59 Issued in AL
Practice address
300 1St St N
Alabaster, AL 35007-9340
Phone
(205) 949-2020
Fax
(205) 663-2015
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-F60-TA-D59 AL Primary

Addresses

Primary practice location

300 1St St N
Alabaster, AL 35007-9340

Mailing address

300 1St St N
Alabaster, AL 35007-9340
Phone (205) 949-2020

Other practice location 1

700 7th St S
Clanton, AL 35045-3778
Phone (205) 280-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250825000265 AL Practitioner - Optometry 1658871611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionfirst Eye Center, IncGroup PAC ID 2769378777, 10 clinicians
Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 clinicians

Practice addresses (Care Compare)

300 1St St N
Alabaster, AL 35007-8764
Phone (205) 949-2020

3431 Colonnade Pkwy
Suite 100
Birmingham, AL 35243-3338
Phone (205) 967-2020

700 7TH St S
Clanton, AL 35045-3778
Phone (205) 280-0034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F60-TA-D59ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Feb 23, 2026 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Feb 23, 2026 Accepting new patients
Visionfirst Eye Center, Inc CurrentSince Sep 1, 2025 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Past Accepting new patients

Locations

300 1st St N
Alabaster, AL 35007
Phone (205) 663-2177

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

195 Highway 304
Calera, AL 35040
Phone (205) 668-7920

700 7th St S
Clanton, AL 35045
Phone (205) 280-0034

2617 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-1575

3240 Edwards Lake Pkwy
Ste 100
Trussville, AL 35235
Phone (205) 949-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1679458335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350079340",
            "telephone_number": "205-949-2020",
            "fax_number": "205-663-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350079340",
            "telephone_number": "205-949-2020",
            "fax_number": "205-663-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 7th St S",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350453778",
            "country_code": "US",
            "telephone_number": "205-280-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KATIE",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F60-TA-D59",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.