Organization
WILLIAMS EYECARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W WILLIAMS O.D. (OWNER, OD)
(928) 442-9202
Entity
Organization
Contact information
Practice address
3250 GATEWAY BLVD STE 152, PRESCOTT, AZ 86303-6857
(928) 442-9202
(928) 442-3980
Mailing address
3250 GATEWAY BLVD STE 152, PRESCOTT, AZ 86303-6857
(928) 442-9202
(928) 442-3980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01119
AZ
Other
Enumeration date
02/01/2007
Last updated
10/11/2012
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