Individual
BLAKE THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2394 H G MOSLEY PKWY, LONGVIEW, TX 75604-3661
(903) 234-0771
(903) 234-0775
Mailing address
2394 H G MOSLEY PKWY, LONGVIEW, TX 75604-3661
(903) 234-0771
(903) 234-0775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8513T
TX
Other
Enumeration date
08/12/2014
Last updated
08/09/2023
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