Individual
DR. THOMAS J. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
203 N 16TH AVE, DURANT, OK 74701-3607
(580) 924-2730
(580) 924-2731
Mailing address
PO BOX 910, DURANT, OK 74702-0910
(580) 924-2730
(580) 924-2731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
903
OK
152WC0802X
Corneal and Contact Management Optometrist
903
OK
152WL0500X
Low Vision Rehabilitation Optometrist
903
OK
152WP0200X
Pediatric Optometrist
903
OK
152WS0006X
Sports Vision Optometrist
903
OK
152WV0400X
Vision Therapy Optometrist
903
OK
152WX0102X
Occupational Vision Optometrist
903
OK
156FX1101X
Ophthalmic Assistant
903
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765480A
—
OK
01
—
731004924-001
BLUE CROSS BLUE SHIELD
OK
01
—
731004927
BLUE CROSS BLUE SHIELD
OK
Enumeration date
10/13/2006
Last updated
04/02/2008
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