Williams, Salisa K

Williams, Salisa K is an individual health care provider with primary practice located at 2205 Ne 129Th St , Vancouver WA 98686-3252. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams, Salisa K can be contacted via phone (360) 694-2544.

Contact Information

Primary practice address
2205 Ne 129Th St Vancouver WA 98686-3252
Phone: (360) 694-2544
Fax: (360) 694-1356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3116ATI Oregon
Eye and Vision Services Providers / Optometrist 152W00000X OD00004059 Washington

Profile Details

NPI number 1497700074
LBN Legal business name Williams, Salisa K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Dec 11th, 2020 - about 6 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 1497700074 NPPES
Washington Other G8883203 MEDICARE WA
Washington Other G8893963 MEDICARE WA
Washington Other P00378195 MEDICARE WA
Washington Other G8882481 MEDICARE WA
Washington Other G8925843 MEDICARE WA
Washington MEDICAID 2032092 MEDICARE WA

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