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Contact Information

DAVID THOMAS WILLIAMS
9101 BRIDGEPORT WAY SW
LAKEWOOD, WA98499
 Phone: 253-588-2254
 Fax: 253-588-0545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID THOMAS WILLIAMS

NPI Number 1508043019
LBN Legal business name DAVID THOMAS WILLIAMS
Authorized official DAVID WILLIAMS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2008
Last updated 08/28/2008 - About 18 years ago
Identifiers
WA License # 1624TX
WA Medicaid 2130052
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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