Williams, Penny S

Williams, Penny S is an sole proprietor health care provider with primary practice located at 3735 Nw 86Th St , Urbandale IA 50322-4008. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams, Penny S can be contacted via phone (515) 270-8545.

Contact Information

Primary practice address
3735 Nw 86Th St Urbandale IA 50322-4008
Fax: (515) 270-0548
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02086 Iowa

Profile Details

NPI number 1184698615
LBN Legal business name Williams, Penny S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Sep 16th, 2013 - about 13 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 1184698615 NPPES
Iowa MEDICAID 1506956
Iowa Other 45719

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