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Contact Information

MARK P WILLIAMS, OD
4067 E COURT ST
#10-11
BURTON, MI48509-2509
 Phone: 810-715-2020
 Fax: 810-715-2021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK P WILLIAMS · (Male)

NPI Number 1518015759
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/06/2007
Last updated 07/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901002607
  • MI Medicaid 945104868
  • MI Other 382219845 ALL OTHER INS
  • MI Other 900B56586 BCBS PROVIDER NUMBER
  • MI Other 202115 MCLAREN PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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