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Organization

ARTHUR F WILLIAMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA JEAN OLSON (PRESIDENT)
(651) 224-2883
Entity
Organization

Contact information

Practice address
772 CLEVELAND AVENUE SOUTH, ST PAUL, MN 55116-1347
(651) 224-2883
(651) 224-6865
Mailing address
772 CLEVELAND AVENUE SOUTH, ST PAUL, MN 55116-1347
(651) 224-2883
(651) 224-6865

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007626168
AETNA
01
06929AR
BLUE CROSS BLUE SHIELD
01
20203AR
BLUE CROSS BLUE SHIELD
01
2124070
MEDICA
01
2201472
MEDICA
01
830031025011
PREFERRED ONE
01
AW27002
SPECTERA
01
AW27003
SPECTERA
01
MN2771
EYEMED
Enumeration date
03/06/2007
Last updated
04/15/2013
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