Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1286 | CO |
NPI | 1073527206 |
---|---|
Provider Name | Dr. Edward P Williams |
First Address | Denver, CO 80206-5434 |
Second Address | Denver, CO 80206-5434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 23/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1982888525 | GROUP NPI (01) | CO |
C42483 | MEDICARE GROUP PTAN (01) | CO |
U06359 | (02) | CO |