Active NPI
Andrew L Williams, OD
- Optometrist
- Newland, NC
National Provider Identifier
1710072491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1404
- Practice address
- 681 Cranberry St
Newland, NC 28657-8801 - Phone
- (828) 733-2011
- Fax
- (828) 733-6177
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1404 | NC | Primary |
Addresses
Primary practice location
681 Cranberry St
Newland, NC 28657-8801
Mailing address
681 Cranberry St
P.O. Box 880
Newland, NC 28657-8801
Phone (828) 733-2011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09143 | Other | NC | BLUE CROSS/BLUE SHIELDS |
| 22-71114 | Other | NC | UNITED HEALTH CARE |
| 890903J | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000885 | NC | Practitioner - Optometry | 3971617192 | Practice locations: Newland, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
681 Cranberry St
Newland, NC 28657-0681
Phone (828) 733-2011
PO Box
Suite 880
Newland, NC 28657-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1404 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| NC1404 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Eye Centers, P.a. | Optometrist | Past | Accepting new patients |
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1710072491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 CRANBERRY ST",
"address_2": "P.O. BOX 880",
"city": "NEWLAND",
"state": "NC",
"postal_code": "286578801",
"telephone_number": "828-733-2011",
"fax_number": "828-733-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 CRANBERRY ST",
"city": "NEWLAND",
"state": "NC",
"postal_code": "286578801",
"telephone_number": "828-733-2011",
"fax_number": "828-733-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANDREW",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC1404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELDS",
"identifier": "09143",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "22-71114",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890903J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.