Organization
DR. ERNEST T. WILLIAMS JR., OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST THOMAS WILLIAMS II O.D. (OWNER)
(218) 262-5686
Entity
Organization
Contact information
Practice address
2932 1ST AVE, HIBBING, MN 55746-2564
(218) 262-5686
(218) 263-6938
Mailing address
2932 1ST AVE, HIBBING, MN 55746-2564
(218) 262-5686
(218) 263-6938
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1568
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01009882
PREFERRED ONE
MN
01
—
111185
U CARE EYEGLASSES
MN
01
—
170174
U CARE
MN
01
—
2111187
MEDICA EYEGLASSES
MN
01
—
2200989
MEDICA
MN
01
—
4C990WI
BLUE CROSS/BLUE SHIELD EYEGLASSES
MN
01
—
61443WI
BLUE CROSS/ BLUE SHIELD OF MN
MN
05
—
914323800
—
MN
Enumeration date
04/21/2009
Last updated
12/10/2009
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