DR. ANTHONY TYLER WILLIAMSON (O.D.) – Optometrist, NPI 1568812709

DR. ANTHONY TYLER WILLIAMSON (O.D.) is a healthcare provider. based in Port arthur, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8932T (TX). The NPI Number for DR. ANTHONY TYLER WILLIAMSON (O.D.) is 1568812709

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY TYLER WILLIAMSON (O.D.)
NPI
1568812709
Phone
(903) 570-6092
Address
2555 95TH ST
Enumeration Date
19 June 2016
Last Update Date
10 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2547768119
Graduation Year
2016 (10 years ago)
PAC ID
1052699451
Group Practice PAC ID
0749510253
Professional Enrollment ID
I20161104000670
Address ID
TX767123788WA1000X6XXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for DR. ANTHONY TYLER WILLIAMSON (O.D.)

  • 2555, 95th Street, Port Arthur, Jefferson County, Texas, 77640, United States

    APT 608

    PORT ARTHUR, TX 776401552

    Phone: (903) 570-6092

    Type: Mailing

  • Twin City Highway, Port Arthur, Jefferson County, Texas, 77642, United States

    PORT ARTHUR, TX 776422102

    Phone: (409) 963-0173

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($59).

Total Amount

$80

General + Research + Ownership

Payments

2

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-11-04

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
I20161104000670IOptometryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 77640)

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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: 0749510253View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ANTHONY TYLER WILLIAMSON (O.D.)'s NPI?
Yes. DR. ANTHONY TYLER WILLIAMSON (O.D.) is listed with NPI 1568812709 in the public NPI dataset.
Can I rely on DR. ANTHONY TYLER WILLIAMSON (O.D.) being an active provider?
As of the registry snapshot, DR. ANTHONY TYLER WILLIAMSON (O.D.) is marked active.
What is DR. ANTHONY TYLER WILLIAMSON (O.D.)'s specialty?
The listing groups DR. ANTHONY TYLER WILLIAMSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANTHONY TYLER WILLIAMSON (O.D.)?
DR. ANTHONY TYLER WILLIAMSON (O.D.)'s geographic hint is Port Arthur, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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