Patrick Alexander Williamson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3478 Issued in MN

Practice address

420 Center Ave Ste 41
Moorhead, MN 56560-1962

Phone

(218) 233-1624

Fax

(218) 233-2058

NPI assigned

May 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stanton L Andrist and Casey C BartzGroup PAC ID 8921268251, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.86 of 100Reported as group

Quality

89.71

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stanton L Andrist & Casey C Bartz

  dba Moorhead Vision Associates

  • Optometrist
  • Moorhead, MN
  • NPI 1164794780
  Medicare reassignment Care Compare group NPD
• Thomas N Lorentzsen & Stanton L Andrist PTR

  dba Moorhead Vision Associates

  • Optometrist
  • Moorhead, MN
  • NPI 1336235449
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1750737979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE STE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601962",
            "telephone_number": "218-233-1624",
            "fax_number": "218-233-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE STE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601962",
            "telephone_number": "218-233-1624",
            "fax_number": "218-233-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581033403",
            "country_code": "US",
            "telephone_number": "701-280-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "PATRICK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "748",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M Wieser, LICSW
• Emily Wiger, MSW, LICSW
• Rollin Elis Wiger, RPH
• Maggie Wilken, MSW,LICSW
• Sara Williams
• Kaila Beth Wilner, PHARM D
• Carmen Marie Wilson
• Hope Wilson
• Jessie Wilson
• Michelle Wilson, M.ED. LPCC, LADC

• Optometrist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.

Verify at the official NPI Registry.