Individual
WILLIAM MITCHELL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF OPTOMETRY
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061203
ANTHEM BCBS
VA
01
—
210946
OPTIMUM CHOICE MDIPA MAMS
VA
01
—
210948
OPTIMUM CHOICE MDIPA MAMS
VA
05
—
9203915
—
VA
01
—
A01995
EYEMED/BLUEVIEW
VA
Enumeration date
09/05/2006
Last updated
12/18/2013
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