DR. SHELLEY WILLIAMS (O.D.) – Optometrist, NPI 1750384111

DR. SHELLEY WILLIAMS (O.D.) is a healthcare provider. based in Columbia, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TO2968 (MO). The NPI Number for DR. SHELLEY WILLIAMS (O.D.) is 1750384111

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHELLEY WILLIAMS (O.D.)
NPI
1750384111
Phone
(573) 446-1139
Address
302 LONGFELLOW LN
Enumeration Date
31 May 2005
Last Update Date
25 February 2009

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5734458780
Graduation Year
1991 (35 years ago)
PAC ID
6608962063
Group Practice PAC ID
9931421187
Professional Enrollment ID
I20100818001354
Address ID
MO652032700CO2200XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. SHELLEY WILLIAMS (O.D.)

  • Longfellow Lane, Rockingham, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 652031625

    Phone: (573) 446-1139

    Fax: (573) 445-8782

    Type: Mailing

  • Forum Boulevard, Columbia, Boone County, Missouri, 65203, United States

    102

    COLUMBIA, MO 652032700

    Phone: (573) 445-8780

    Fax: (573) 445-8782

    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 $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($147).

Total Amount

$494

General + Research + Ownership

Payments

12

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100818001354IOptometryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina1313$0
View full utilization report →

Insurance plans in this area (ZIP 65203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931421187View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMD
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YKS

Reviews

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Frequently asked questions

What NPI should I save for DR. SHELLEY WILLIAMS (O.D.)?
Save NPI 1750384111 if you need a stable reference for DR. SHELLEY WILLIAMS (O.D.).
Is DR. SHELLEY WILLIAMS (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. SHELLEY WILLIAMS (O.D.) work in?
You can think of DR. SHELLEY WILLIAMS (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. SHELLEY WILLIAMS (O.D.)?
We surface Columbia, Missouri for DR. SHELLEY WILLIAMS (O.D.) based on available NPPES addresses.
Is DR. SHELLEY WILLIAMS (O.D.) a real provider?
This page reflects official NPPES data for NPI 1750384111. Always confirm identity and privileges with the practice and licensing boards.

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