Organization
DAVID THOMAS WILLIAMS
Active
Other names
Bridgeport Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THOMAS WILLIAMS OD (OWNER)
(253) 588-2254
Entity
Organization
Contact information
Practice address
9101 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 588-2254
(253) 588-0545
Mailing address
9101 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 588-2254
(253) 588-0545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1624TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130052
—
WA
Enumeration date
01/28/2008
Last updated
08/28/2008
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