JEFFREY W WILLIAMS (O.D.) – Optometrist, NPI 1750334074
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for JEFFREY W WILLIAMS (O.D.)
3480 Bunker Lake Blvd NW
Andover, MN 553042085
Phone: (763) 712-9854
Fax: (763) 506-9962
Type: Location
200 VILLAGE CENTER DR STE 300
SAINT PAUL, MN 551277088
Phone: (651) 482-1959
Fax: (651) 482-1850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Alcon Vision LLC ($77).
Total Amount
$173
General + Research + Ownership
Payments
9
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $77 |
| Johnson & Johnson Vision Care, Inc. | $53 |
| Bausch & Lomb Americas Inc. | $25 |
| CooperVision Inc. | $18 |
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: 2008-11-05
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 |
|---|---|---|---|---|
| I20080903000559 | I | Optometry | MN | TBD |
| I20081105000052 | I | Optometry | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 39 | 39 | $0 |
Insurance plans in this area (ZIP 55304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| - | MN | |
| O P T O M E T R Y | MN |
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