DR. WALTER KEANDRE DESEAN IV WILLIAMS (OD) – Optometrist, NPI 1720838873
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. WALTER KEANDRE DESEAN IV WILLIAMS (OD)
519 STATE ST
NEW ALBANY, IN 471503620
Phone: (812) 948-0616
Type: Mailing
3734 Lauderdale Dr
Toledo, OH 436151154
Phone: (419) 944-0565
Type: Location
1305 Wall St
Jeffersonville, IN 471303853
Phone: (812) 288-9011
Type: Location
9200 Leesgate Rd Ste 201
Louisville, KY 402225173
Phone: (502) 895-2910
Fax: (502) 894-8668
Type: Location
2200 E Parrish Ave Ste 201
Owensboro, KY 423031449
Phone: (812) 948-0616
Fax: (812) 949-3446
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,012.
Total Amount is formed as General ($2,012) + Research ($0) + Ownership ($0) = $2,012.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($1,811).
Total Amount
$2,012
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240626002514 | I | Optometry | IN | TBD |
| I20240726001867 | I | Optometry | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IN | |
| - | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | KY |
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