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NPI Code Detail

MEDICARE: DIANE H WILLIAMS OD

MEDICARE:   DIANE H WILLIAMS  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist7087CA

General Provider Information

NPI Number : 1790746238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE H WILLIAMS OD
Provider Business Mailing Address
First Line : 909 SAN RAMON VALLEY BLVD
Second Line : SUITE 114
City : DANVILLE
State : CA
Zip : 94526-4038
Country : US
Telephone Number : 925-837-5922
Fax Number : 925-837-1403
Provider Business Practice Location Address
First Line : 909 SAN RAMON VALLEY BLVD
Second Line : SUITE 114
City : DANVILLE
State : CA
Zip : 94526-4038
Country : US
Telephone Number : 925-837-5922
Fax Number : 925-837-1403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 12/18/2008

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Directions to “ DIANE H WILLIAMS OD” Practice Location

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