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Contact Information

JESSE C WILLIAMS, OD
1806 N. 4TH ST
MURRAY, KY42071
 Phone: 270-759-1429
 Fax: 270-759-1493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JESSE C WILLIAMS · (Male)

NPI Number 1821343708
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/17/2012
Last updated 07/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1909DT
  • KY Medicaid 7100327030
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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