Individual
WILLIAM FRANCIS WATERBURY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
228 N. HELMER RD., SPRINGFIELD, MI 49037-7931
(269) 963-5640
(269) 963-1666
Mailing address
228 N. HELMER RD, SPRINGFIELD, MI 49037-7931
(269) 963-5640
(269) 963-1666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003906
MI
152WL0500X
Low Vision Rehabilitation Optometrist
4901003906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4723594
—
MI
Enumeration date
04/14/2006
Last updated
03/20/2017
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