David Thomas Williams
Optometrist in Lakewood, WA. Organization (NPI-2).
NPI number1508043019
StatusActive
Last updated in NPPESAug 28, 2008
Details
- NPI
- 1508043019
- Entity type
- Organization (NPI-2)
- Legal business name
- David Thomas Williams
- Organization subpart
- No
- Enumeration date
- Jan 28, 2008
- Last updated
- Aug 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1624TX | WA | Yes |
Other names
- Bridgeport Vision Clinic (Doing Business As)
Practice location
9101 Bridgeport Way SwLakewood, WA 98499
Phone 253-588-2254 · Fax 253-588-0545
Mailing address
9101 Bridgeport Way SwLakewood, WA 98499
Phone 253-588-2254 · Fax 253-588-0545
Authorized official
David Thomas Williams
Owner
2535882254
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