Individual
CHANDRA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13453 N MAIN ST STE 203, JACKSONVILLE, FL 32218-2773
(904) 696-2027
(904) 696-2028
Mailing address
13453 N MAIN ST STE 203, JACKSONVILLE, FL 32218-2773
(904) 696-2027
(904) 696-2028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36102
BCBS INDIVIDUAL ID
FL
01
—
P00462502
MEDICARE RAILROAD
FL
Enumeration date
09/27/2006
Last updated
02/17/2024
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