Individual
JOHN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 572-7641
(701) 572-7710
Mailing address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 572-7641
(701) 572-7710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
373
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60619
—
ND
Enumeration date
11/20/2006
Last updated
07/08/2007
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