Individual provider Active NPI

Steven Andrew Williams

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1831760032
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5932 Issued in FL
Practice address
2420 S Babcock St
Melbourne, FL 32901-5356
Phone
(321) 725-4755
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5932 FL Primary

Addresses

Primary practice location

2420 S Babcock St
Melbourne, FL 32901-5356

Mailing address

1259 Oak Grove Rd
Savannah, TN 38372-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210809003759 FL Practitioner - Optometry 4082018395 Reassigns benefits to 2 organizations
I20250128004649 TN Practitioner - Optometry 4082018395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

1005 Charlie Daniels Pkwy
Mt Juliet, TN 37122-3065
Phone (615) 758-2501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5932FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Sep 27, 2024 Accepting new patients
Mt Juliet Family Vision PC Optometrist CurrentSince Dec 6, 2024 Accepting new patients
Hermitage Eye Care PLLC Optometrist CurrentSince Dec 6, 2024 Accepting new patients
Brevard Optometry Associates Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Tommy J. Ducklo, OD PC Optometrist Past Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

2420 S Babcock St
Melbourne, FL 32901
Phone (321) 725-4755

7905 N Wickham Rd
Melbourne, FL 32940
Phone (321) 752-0100

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

111 E 4th St
Ste 440
Alton, IL 62002

782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992

1005 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-2501

2114 Elliston Pl
Nashville, TN 37203
Phone (615) 329-0000

Organizations & group practices 6

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1831760032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 OAK GROVE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383724957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015356",
            "telephone_number": "321-725-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.