Individual provider Active NPI

Andrew Henry Williams, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1932445202
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003070 Issued in GA
Practice address
2311 Cascade Rd SW
Atlanta, GA 30311-3201
Phone
(301) 399-0716
NPI assigned
Dec 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002199 VA
Optometrist 152W00000X TA2384 MD
Optometrist 152W00000X OPT003070 GA Primary

Addresses

Primary practice location

2311 Cascade Rd SW
Atlanta, GA 30311-3201

Mailing address

3110 Camellia TRL
Austell, GA 30106-2669
Phone (301) 399-0716

Other practice location 1

2955 Crain Hwy Ste A&b
Waldorf, MD 20601-2810
Phone (301) 645-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140303000207 MD Practitioner - Optometry 7315177813 Reassigns benefits to 1 organization
I20140308000169 DC Practitioner - Optometry 7315177813 Reassigns benefits to 1 organization
I20190201000967 GA Practitioner - Optometry 7315177813 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2311 Cascade Rd SW
Atlanta, GA 30311-3201
Phone (404) 549-9996

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003070GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Sep 30, 2015 Accepting new patients
Visionary Eyecare of Atlanta, LLC Optometrist CurrentSince Oct 9, 2019 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Sep 30, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Sep 30, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Ballston Optometry, LLC Optometrist Past Accepting new patients

Locations

2311 Cascade Rd SW
Atlanta, GA 30311
Phone (301) 399-0716

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

785 Solomons Island Rd N
Prince Frederick, MD 20678
Phone (410) 535-6333

2955 Crain Hwy
Ste A
Waldorf, MD 20601
Phone (301) 645-3600

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

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": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1932445202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CAMELLIA TRL",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062669",
            "telephone_number": "301-399-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113201",
            "telephone_number": "301-399-0716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Crain Hwy Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012810",
            "country_code": "US",
            "telephone_number": "301-645-3600",
            "fax_number": "301-870-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREW",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002199",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2384",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.