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General NPI Number Information
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NPI Number | 1629589213
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Entity Type | Organization
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Legal Business Name | JEFFREY ALAN WILLIAMS OD PC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 18567 HIGHWAY 104
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City | ROBERTSDALE
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State | AL
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Zip | 36532
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Country | US
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Telephone | 251-945-2020
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Fax | 251-945-1591
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Provider Business Mailing Address
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Address Line | 18465 STATE HIGHWAY 104
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City | ROBERTSDALE
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State | AL
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Zip | 36567-8726
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Country | US
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Telephone | 251-538-7015
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Fax | 251-968-5923
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JEFFREY ALAN WILLIAMS
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Credential | OD
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Telephone | 251-538-7015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S751-TA324
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License Number State | AL
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