Jennifer Edens Williams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C29-TA-867 Issued in AL

Practice address

200 Canyon Park Dr
Pelham, AL 35124-4817

Phone

(205) 624-4736

NPI assigned

Aug 30, 2010

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelham Eye Center LLCGroup PAC ID 4789094137, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pelham Eye Center LLC

  • Optometrist
  • Pelham, AL
  • NPI 1487252920
  Medicare reassignment Care Compare group NPD Authorized official
• Wesley Optometry PC

  dba Wesley Eye Center

  • Optometrist
  • Jasper, AL
  • NPI 1306037882
  Medicare reassignment
• Basden Eyecare

  • Optometrist
  • Auburn, AL
  • NPI 1679614572
  NPD (past)
• Eye Health Partners of Alabama Inc

  • Optometrist
  • Birmingham, AL
  • NPI 1619923745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1861708745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 VAN BUREN DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352263415",
            "telephone_number": "205-910-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CANYON PARK DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244817",
            "telephone_number": "205-624-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "EDENS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C29-TA-867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1437284593",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roderick White, D.C.
• Shannon White, LPC
• Stacey L White
• Mark Whitworth
• Grelier Wilkerson, LICSW
• Kristin Williams, SLP
• Mandy Leigh Williams
• Michael Seth Williams, O.D.
• Shelia H Williams
• Rachel Elizabeth Willoughby, PMHNP-BC

• Optometrist in Pelham, AL
• Providers in Pelham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.