| NPI | 1720838873 |
|---|---|
| Other Name | WALT WILLIAMS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004506A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-06-12 |