Individual provider Active NPI

William Coy Womble, O.D.

  • Optometrist
  • Fayetteville, TN
National Provider Identifier
1992888440
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1967 Issued in TN
Practice address
1822 Huntsville Hwy Ste D
Fayetteville, TN 37334-3788
Phone
(931) 433-1370
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1967 TN Primary

Addresses

Primary practice location

1822 Huntsville Hwy Ste D
Fayetteville, TN 37334-3788

Mailing address

110 College St Ste E
Athens, AL 35611-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110202000145 TN Practitioner - Optometry 5294915617 Reassigns benefits to 1 organization
Practice locations: Fayetteville, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Optometry TN PCGroup PAC ID 7618312745, 4 clinicians

Practice addresses (Care Compare)

1822 Huntsville Hwy
Suite D
Fayetteville, TN 37334-3788
Phone (931) 433-1370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1967TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
William C. Womble PastSince Jul 5, 1999 Accepting new patients
Lincoln County Vision Center Optometrist PastSince Jul 5, 1999 Accepting new patients

Organizations & group practices 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1992888440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 HUNTSVILLE HWY STE D",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343788",
            "telephone_number": "931-433-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "WILLIAM",
        "middle_name": "COY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.