Individual provider Active NPI

Katherine Chia-Hsin Yang-Williams, O.D

  • Optometrist
  • Seattle, WA
National Provider Identifier
1699774844
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003285 Issued in WA
Practice address
7001 Roosevelt Way NE
Seattle, WA 98115
Phone
(206) 527-2987
Fax
(206) 526-8076
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003285 WA Primary

Addresses

Primary practice location

7001 Roosevelt Way NE
Seattle, WA 98115

Mailing address

9706 4TH Ave NE
Ste 100
Seattle, WA 98115-2199
Phone (206) 527-2987

Other identifiers 1

IdentifierTypeStateIssuer
2020865MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070912000016 WA Practitioner - Optometry 3870686579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Waterloo - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roosevelt Vision Source PLLCGroup PAC ID 6709775521, 7 clinicians

Practice addresses (Care Compare)

9706 4TH Ave NE
Suite 100
Seattle, WA 98115-2199
Phone (206) 527-2987

Merit-based Incentive Payment System (MIPS)

Final score
77.33 of 100Reported as group
Quality
54.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt Vision Clinic, PLLC Optometrist CurrentSince Aug 20, 2007 Accepting new patients

Locations

9706 4th Ave NE
Ste 100
Seattle, WA 98115
Phone (206) 527-2987

Interoperability endpoints

  • Direct secure messaging: katherine.williams@direct.revolutionehr.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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1699774844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 4TH AVE NE",
            "address_2": "STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152199",
            "telephone_number": "206-527-2987",
            "fax_number": "206-527-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-527-2987",
            "fax_number": "206-526-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG-WILLIAMS",
        "first_name": "KATHERINE",
        "middle_name": "CHIA-HSIN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020865",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.