Individual provider Active NPI

Brian F Williams, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1902802895
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2147 Issued in OK
Practice address
10010 E. 81St St
#100
Tulsa, OK 74133-5726
Phone
(918) 250-2020
Fax
(918) 250-8910
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2147 OK Primary

Addresses

Primary practice location

10010 E. 81St St
#100
Tulsa, OK 74133-5726

Mailing address

10010 E. 81St St
#100
Tulsa, OK 74133-5726
Phone (918) 250-2020

Other identifiers 5

IdentifierTypeStateIssuer
242314200005OtherOKBLUE CROSS & BLUE SHIELD
1411421OtherOKAETNA
5458275OtherOKAETNA HMO
100761750AMedicaidOK
P00332663OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050503000145 OK Practitioner - Optometry 5294774808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of South Tulsa PCGroup PAC ID 4385646124, 5 clinicians

Practice addresses (Care Compare)

10010 E 81St St
Suite 100
Tulsa, OK 74133-4558
Phone (918) 250-2020

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as individual
Quality
78.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9147OKMDEmergency Medicine Physician
2147OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridan, LTD Optometrist Current Accepting new patients
Langley Holdings, LLC CurrentSince Nov 17, 2019 Accepting new patients
South Tulsa Anesthesia LLC Current Accepting new patients
Midtown Eyecare Optometrist PastSince Apr 30, 2003 Accepting new patients
Gaddie Eye Centers, LLC Optometrist PastSince Apr 2, 1993 Accepting new patients

Locations

10010 E 81st St
Ste 100
Tulsa, OK 74133
Phone (918) 250-2020

Interoperability endpoints

  • Direct secure messaging: brian.williams.1@12700.direct.athenahealth.com

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, 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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1902802895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 E. 81ST ST",
            "address_2": "#100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-250-2020",
            "fax_number": "918-250-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 E. 81ST ST",
            "address_2": "#100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-250-2020",
            "fax_number": "918-250-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "242314200005",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1411421",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5458275",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761750A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00332663",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.