Samuel Williams OD

NPI 1720186117 - Optometrist - 152W00000X

NPI Details
NPI 1720186117
Gender Male
Enumeration Date 09/20/2006
Last Updated 12/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
112 E DIXIE AVE
LEESBURG FL, 34748-6350, US
Phone (352) 787-1956
Fax (352) 365-6690
Business Location
112 E DIXIE AVE
LEESBURG FL, 34748-6350, US
Phone (352) 787-1956
Fax (352) 365-6690
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC968
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According to our database, Samuel Williams OD NPI is 1720186117, taxonomy code is 152W00000X and license number is OPC968, license state is located at Florida. Samuel Williams OD physically located at 112 E Dixie Ave, Leesburg FL, 34748-6350. NPI Number Samuel Williams OD has the Individual type.

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1720186117 NPI number is provided on an as is basis without warranty of any kind. 1720186117 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Williams OD are for informational purposes only.