Individual provider Active NPI

Richard Thomas Williams, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1851489744
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B24-TA-696 Issued in AL
Practice address
3439 Colonnade Parkway
Suite 1000
Birmingham, AL 35243-9346
Phone
(205) 967-2020
Fax
(205) 967-7120
NPI assigned
Oct 10, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B24-TA-696 AL Primary

Addresses

Primary practice location

3439 Colonnade Parkway
Suite 1000
Birmingham, AL 35243-9346

Mailing address

7913 Parkway Dr
Leeds, AL 35094-2126
Phone (205) 661-2080

Other identifiers 1

IdentifierTypeStateIssuer
51531816OtherALBCBS

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
I20060202000190 AL Practitioner - Optometry 7719991454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bessemer Family Eye Care, LLCGroup PAC ID 6002196862, 2 clinicians
Leeds Family Eye Care, IncGroup PAC ID 4789787888, 2 clinicians

Practice addresses (Care Compare)

5031 Ford Pkwy
Suite 113
Bessemer, AL 35022-5287
Phone (205) 424-2733

7913 Pkwy Dr
Leeds, AL 35094-2126
Phone (205) 702-4380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bessemer Family Eye Care LLC Optometrist CurrentSince Oct 31, 2016 Accepting new patients
Leeds Family Eye Care, Inc Optometrist CurrentSince Jun 22, 2015 Accepting new patients
Schaeffer Eye Center Inc Past Accepting new patients
Icuris Eyecare Optometrist Past Accepting new patients

Locations

5031 Ford Pkwy
Ste 113
Bessemer, AL 35022
Phone (205) 424-2733

7913 Parkway Dr
Leeds, AL 35094
Phone (205) 702-4380

Organizations & group practices 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1851489744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 PARKWAY DR",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350942126",
            "telephone_number": "205-661-2080",
            "fax_number": "205-661-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 COLONNADE PARKWAY",
            "address_2": "SUITE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352439346",
            "telephone_number": "205-967-2020",
            "fax_number": "205-967-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B24-TA-696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51531816",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.