Individual
JAMES D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3732 CREEKSHIRE CT, WINSTON SALEM, NC 27103-1363
(336) 793-5904
Mailing address
PO BOX 607, PILOT MOUNTAIN, NC 27041-0607
(336) 368-4727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09290
BCBS
NC
01
—
2256632
UNITED HEALTHCARE
NC
01
—
33982
MEDCOST
NC
01
—
410044135
RAILROAD MEDICARE
NC
05
—
8909290
—
NC
Enumeration date
01/25/2006
Last updated
07/07/2016
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