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Individual

DR. ERNEST THOMAS WILLIAMS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

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
152W00000X
Optometrist
Primary
1568
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01009882
PREFERRED ONE
MN
01
0313870001
D MERC
MN
01
111185
UCARE EYEGLASSES
MN
01
170174
UCARE
MN
01
2111187
MEDICA EYEGLASSES
MN
01
2200989
MEDICA
MN
01
4C990WI
BC/BS EYEGLASS & CL
MN
01
61443WI
BLUE CROSS/BLUE SHIELD
MN
05
914323800
MN
01
N005453
CHAMPUS
MN
Enumeration date
07/28/2005
Last updated
04/02/2013
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