DR. WALTER KEANDRE DESEAN WILLIAMS IV OD
NPI 1720838873
Optometrist in New Albany, IN
About Dr. Walter Keandre Desean Williams Iv Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WALTER KEANDRE DESEAN WILLIAMS IV OD (NPI 1720838873) is an individual optometrist in New Albany, Indiana, licensed in Indiana (18004506A) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 4
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Walter Keandre Desean Williams Iv Od 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.
Medicare Billing Reassignments
3Medicare enrollment records show Walter Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Albany, IN 47150
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 10 clinicians in this Medicare group
Louisville, KY 40215
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 27 clinicians in this Medicare group
Bloomington, IN 47401
- Reassigned Medicare billing, Indiana enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Walter Williams's NPI number?
The NPI number for Walter Williams is 1720838873. It was assigned to this individual provider in the NPPES registry on March 22, 2024. The provider is also known as Walt Williams.
Where is Walter Williams located?
Walter Williams practices at 519 State St, New Albany, IN 47150. The listed phone number is (812) 948-0616.
What is Walter Williams's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Walter Williams enrolled in Medicare?
Yes. Walter 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.
Which organizations bill Medicare for Walter Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Williams reassigns Medicare benefits to 3 organizations: John Kenyon American Eye Institute LLC (New Albany, IN), Eye Centers Of Louisville,psc (Louisville, KY) and First Impressions Optometric Associates, LLC (Bloomington, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Walter Williams accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Walter Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Walter Williams was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Walter Keandre Desean Williams IV, OD · NPI 1720838873
Optometrist provider in New Albany, Indiana. Individual provider, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1720838873 (Entity type: Individual)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004506A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 519 STATE ST, New Albany, IN 47150-3620
- **Phone:** (812) 948-0616
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): John Kenyon American Eye Institute LLC (NPI 1447259510, New Albany, IN); Eye Centers Of Louisville,psc (NPI 1659385508, Louisville, KY); First Impressions Optometric Associates, LLC (NPI 1083366363, Bloomington, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 2024
## Record status
- **NPPES last updated:** June 11, 2026
- **Other identifiers:** Medicaid 300092192 (IN); Medicaid 7100983530 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720838873) · Data from the CMS NPPES public registry.