Active NPI
Andrew Henry Williams, O.D.
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003070
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003070 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Visionary Eyecare of Atlanta, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | 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.
-
- Optometrist
- Waldorf, MD
- NPI 1609204437
-
- Optometrist
- Atlanta, GA
- NPI 1881383024
-
- Optometrist
- Germantown, MD
- NPI 1225407521
-
- Optometrist
- Laurel, MD
- NPI 1972900058
-
- Optometrist
- Baltimore, MD
- NPI 1992132856
-
- Optometrist
- Arlington, VA
- NPI 1083779094
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.