Individual provider Active NPI

Ashley R Williams, OD

  • Optometrist
  • Selma, AL
National Provider Identifier
1760404420
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA24TA601 Issued in AL
Practice address
406 Dallas Ave
Selma, AL 36701-5746
Phone
(334) 878-2020
Fax
(334) 878-2025
NPI assigned
Jul 24, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA24TA601 AL Primary

Addresses

Primary practice location

406 Dallas Ave
Selma, AL 36701-5746

Mailing address

406 Dallas Ave
Selma, AL 36701-5746
Phone (334) 878-2020

Other identifiers 2

IdentifierTypeStateIssuer
051512107OtherALBCBS
009901935MedicaidAL

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
I20101216001164 AL Practitioner - Optometry 7012105026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 Dallas Ave
Selma, AL 36701-5746
Phone (334) 878-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Eye Care LLC Optometrist CurrentSince May 1, 2017 Accepting new patients
Preferred Eye Care LLC Optometrist CurrentSince May 1, 2017 Accepting new patients

Locations

931 US Highway 80 W
Demopolis, AL 36732
Phone (334) 878-2020

931 US Highway 80 W
Ste A
Demopolis, AL 36732

406 Dallas Ave
Selma, AL 36701
Phone (334) 878-2020

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1760404420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015746",
            "telephone_number": "334-878-2020",
            "fax_number": "334-878-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015746",
            "telephone_number": "334-878-2020",
            "fax_number": "334-878-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-02-21",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA24TA601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051512107",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009901935",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.