Kiah Williams Amato, OD
Individual provider Active NPI Optometrist · Saint Johns, FL
NPI 1780155705 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1780155705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC5997 (FL)
- Practice address
- 2766 Race Track Rd
Saint Johns, FL 32259-4231 - Phone
- (904) 287-4567
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gerald H Fisher and Erika L Fisher, PA
Practice addresses (Care Compare)
2766 Race Track Rd
Saint Johns, FL 32259-4231
Phone (904) 287-4567
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200310000828 | TN | Practitioner - Optometry | 7517208515 | Reassigns benefits to 1 organization |
| I20220628000922 | FL | Practitioner - Optometry | 7517208515 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5997 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drake Eye Care and Eyewear PLLC | Current |
Accepting new patients | |
| Drake Eye Care and Eyewear | Optometrist | Past |
Accepting new patients |
Locations
252 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 907-2030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5997 | FL | Yes |
Addresses
Primary practice location
2766 Race Track Rd
Saint Johns, FL 32259-4231
Mailing address
2766 Race Track Rd
Saint Johns, FL 32259-4231
Phone (904) 287-4567
Other names
- Dr. Kiah Summer Williams
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.