Individual provider Active NPI

Kaitlyn Grace Williams, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1932099041
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11449TG Issued in TX
Practice address
2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230
Phone
(210) 822-9800
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11449TG TX Primary

Addresses

Primary practice location

2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230

Mailing address

6155 Eckhert Rd Apt 15306
San Antonio, TX 78240-3193
Phone (417) 894-9631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250731004706 TX Practitioner - Optometry 7618485772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nader G Iskander MD PAGroup PAC ID 9133181670, 4 clinicians

Practice addresses (Care Compare)

2810 N Loop 1604
Suite 200
San Antonio, TX 78248-2230
Phone 2108229800110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11449TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nader G Iskander MD PA CurrentSince Jul 22, 2025 Accepting new patients

Locations

2810 N Loop 1604 W
Ste 200
San Antonio, TX 78248
Phone (210) 822-9800

Interoperability endpoints

  • Direct secure messaging: kwilliams@mysaeyes.intellechartdirect.net

Organizations & group practices 1

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1932099041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 ECKHERT RD APT 15306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403193",
            "telephone_number": "417-894-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N LOOP 1604 W STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482230",
            "telephone_number": "210-822-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAITLYN",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11449TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.