Individual provider Active NPI

Bryan P Williams, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1851883151
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9481 Issued in TX
Practice address
1512 8TH Ave Ste 100
Fort Worth, TX 76104-4150
Phone
(817) 759-9200
Fax
(817) 759-9201
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9481 TX Primary

Addresses

Primary practice location

1512 8TH Ave Ste 100
Fort Worth, TX 76104-4150

Mailing address

1512 8TH Ave Ste 100
Fort Worth, TX 76104-4150
Phone (817) 759-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 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
I20180807003967 AL Practitioner - Optometry 8527316595 Reassigns benefits to 1 organization
I20190719000916 TX Practitioner - Optometry 8527316595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1512 8TH Ave
Suite 100
Fort Worth, TX 76104-4150
Phone (817) 759-9200

8611 Hillcrest Ave
Suite 140
Dallas, TX 75225-4217
Phone (214) 739-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9481TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jun 18, 2018 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 2, 2024 Accepting new patients
BWB Eye Care PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 18, 2018 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients

Locations

1716 University Blvd
#G90A
Birmingham, AL 35233

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

8611 Hillcrest Ave
Ste 140
Dallas, TX 75225
Phone (214) 739-8611

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1512 8th Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 759-9200

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 11

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1851883151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 8TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044150",
            "telephone_number": "817-759-9200",
            "fax_number": "177-599-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 8TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044150",
            "telephone_number": "817-759-9200",
            "fax_number": "817-759-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRYAN",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.