Individual
DR. PENNY S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3735 NW 86TH ST, URBANDALE, IA 50322-4008
(515) 270-8545
(515) 270-0548
Mailing address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 279-2020
(515) 255-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02086
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506956
—
IA
01
—
45719
BLUE CROSS
IA
Enumeration date
02/13/2006
Last updated
09/16/2013
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