Individual provider Active NPI

Nekima Williams, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1720279698
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7110T Issued in TX
Practice address
7400 San Pedro
San Antonio, TX 78227
Phone
(210) 789-3152
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7110T TX Primary

Addresses

Primary practice location

7400 San Pedro
San Antonio, TX 78227

Mailing address

21739 Hardy Oak Blvd
Apt #1107
San Antonio, TX 78258-2360
Phone (210) 789-3152

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
I20150821014259 TX Practitioner - Optometry 9931414752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7110TXMDAddiction (Substance Use Disorder) Counselor
7110TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word Optometrist CurrentSince Jun 1, 2016 Accepting new patients
University of the Incarnate Word CurrentSince Jun 1, 2016 Accepting new patients
Dr. Michael R. Castro & Associates, PLLC Optometrist CurrentSince Jun 6, 2015 Accepting new patients
Rocky Mountain University of Health Professions Foundation Optometrist Past Accepting new patients
Nielsen Vision Development Center Past Accepting new patients

Locations

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1720279698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21739 HARDY OAK BLVD",
            "address_2": "APT #1107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582360",
            "telephone_number": "210-789-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SAN PEDRO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78227",
            "telephone_number": "210-789-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NEKIMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7110T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.