Williams, Amy J

Williams, Amy J is an individual health care provider with primary practice located at 1252 Ralston Ave Ste 400 , Defiance OH 43512-1480. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams, Amy J can be contacted via phone (419) 782-6588.

Contact Information

Primary practice address
1252 Ralston Ave Ste 400 Defiance OH 43512-1480
Fax: (419) 784-3622
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4600T1343 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X OPT.004600 Ohio

Profile Details

NPI number 1811979289
LBN Legal business name Williams, Amy J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811979289 NPPES
Ohio MEDICAID 2577082

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