Individual
DR. GARY J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
293 MAIN ST, OWEGO, NY 13827-1615
(607) 687-3391
(607) 687-4226
Mailing address
293 MAIN ST, OWEGO, NY 13827-1615
(607) 687-3391
(607) 687-4226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4535964
AETNA
—
01
—
598015
MVP
—
Enumeration date
02/08/2006
Last updated
04/19/2017
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