Williams, Mark P

Williams, Mark P is an sole proprietor health care provider with primary practice located at 4067 E Court St #10-11, Burton MI 48509-2509. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Low Vision Rehabilitation is his primary health care specialty. Williams, Mark P can be contacted via phone (810) 715-2020.

Contact Information

Primary practice address
4067 E Court St #10-11 Burton MI 48509-2509
Phone: (810) 715-2020
Fax: (810) 715-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 4901002607 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901002607 Michigan

Profile Details

NPI number 1518015759
LBN Legal business name Williams, Mark P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2021 - about 5 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 1518015759 NPPES
Michigan Other 202115 MCLAREN PROVIDER NUMBER
Michigan Other 900B56586 MCLAREN PROVIDER NUMBER
Michigan MEDICAID 945104868 MCLAREN PROVIDER NUMBER
Michigan Other 382219845 MCLAREN PROVIDER NUMBER

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