Williams, Debra Lynne

Williams, Debra Lynne is an individual health care provider with primary practice located at 1 Woodland Ave Ste 2, Kimberling City MO 65686-9738. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams, Debra Lynne can be contacted via phone (417) 739-2411.

Contact Information

Primary practice address
1 Woodland Ave Ste 2 Kimberling City MO 65686-9738
Phone: (417) 739-2411
Fax: (417) 739-2407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MOT03116 Missouri

Profile Details

NPI number 1215931886
LBN Legal business name Williams, Debra Lynne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 22nd, 2024 - about last year

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 1215931886 NPPES
Missouri MEDICAID 317857019

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