Individual
DR. MARK ALAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
307 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1500
(765) 463-4558
(765) 497-2154
Mailing address
307 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1500
(765) 463-4558
(765) 497-2154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003424A
INDIANA LICENSE
IN
Enumeration date
10/18/2006
Last updated
09/28/2020
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