DR. WALTER KEANDRE DESEAN WILLIAMS IV OD
NPI 1720838873
Optometrist in New Albany, IN

Q: 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.

Q: What is Walter Williams's specialty?

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

Q: 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 2 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.

Active since March 22, 2024PECOS EnrolledAccepts Medicare Assignment

519 STATE ST, NEW ALBANY, IN 47150(812) 948-0616 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Jun 12, 2024 (2 updates tracked since 2024).

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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

NPI1720838873

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. WALTER KEANDRE DESEAN WILLIAMS IVCredential: OD

Location Address519 STATE STNew Albany, IN 47150-3620

Mailing Address519 State StNew Albany, IN 47150-3620 · (812) 948-0616

Phone(812) 948-0616

Sole ProprietorYes

Medical School CMSIndiana University - School Of OptometryGraduated 2024

Enumeration DateMarch 22, 2024

Last NPPES UpdateJune 11, 20262 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1720838873 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 IN · 18004506A

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.

519 STATE ST, New Albany, IN 47150

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Other Names 1

Other Name (5)Walt Williams

Secondary Practice Locations 4

Location 173 Quartermaster CtJeffersonville, IN 47130-3623 · Phone (812) 284-0077

Location 21305 Wall StJeffersonville, IN 47130-3853 · Phone (812) 288-9011

Location 39200 Leesgate RdLouisville, KY 40222-5173 · Phone (502) 895-2910 · Fax (502) 894-8668

Location 42200 E Parrish Ave Ste 201Owensboro, KY 42303-1449 · Phone (812) 948-0616 · Fax (812) 949-3446

Other Identifiers 2

Medicaid300092192IN

Medicaid7100983530KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

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. 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.

PECOS PAC ID2365986759

PECOS Enrollment IDI20240626002514, I20240726001867

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 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.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

DR. HOWARD S. LAZARUS M.D.

Ophthalmology (Retina Specialist)