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DR. JOSHUA WILLIAMS
NPI 1104796473
Optometrist in Andover, MN

Active since November 10, 2025PECOS EnrolledAccepts Medicare Assignment
3480 BUNKER LAKE BLVD NW STE 101, ANDOVER, MN 55304(763) 712-9854 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joshua Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSHUA WILLIAMS (NPI 1104796473) is an individual optometrist in Andover, Minnesota, licensed in Minnesota (4033) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104796473
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSHUA WILLIAMS
Location Address3480 BUNKER LAKE BLVD NW STE 101Andover, MN 55304-3669
Mailing Address14212 London St NeHam Lake, MN 55304-6820
Phone(763) 712-9854
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1104796473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 4033
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3480 BUNKER LAKE BLVD NW STE 101, Andover, MN 55304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua Williams is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416434022
PECOS Enrollment IDI20260123003274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Williams's NPI number?

The NPI number for Joshua Williams is 1104796473. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Joshua Williams located?

Joshua Williams practices at 3480 Bunker Lake Blvd NW Ste 101, Andover, MN 55304. The listed phone number is (763) 712-9854.

What is Joshua Williams's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joshua Williams enrolled in Medicare?

Yes. Joshua Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joshua Williams was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.