Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joshua Williams

Individual provider Optometrist · NPI 1104796473

Dr. Joshua Williams is an Optometry in Andover, Minnesota. Qualified in 2025, 1 year ago. Practices with Jeffrey W. Williams, OD and Associates, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025

Practice location Address checks out

3480 Bunker Lake Blvd NW Ste 101
Andover, MN 55304-3669
Phone: (763) 712-9854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4033 (MN)

Record details

NPI number1104796473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address14212 London St Ne, Ham Lake, MN 55304-6820

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jeffrey W. Williams, O.D. And Associates, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Andover