Individual
JON M WILLEMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3647 NW BYRON ST, SILVERDALE, WA 98383-9127
(360) 692-6115
(360) 692-6139
Mailing address
3647 NW BYRON ST, SILVERDALE, WA 98383-9127
(360) 692-6115
(360) 692-6139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1927
WA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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