DR. KENNETH WALTER WILLIAMS (NPI# 1710007711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710007711 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WALTER WILLIAMS |
| Credential | OD |
| Practice Address |
3250 Gateway Blvd #152 Prescott AZ 86303-6849 |
| Mailing Address |
6584 E Stratford Dr Prescott Valley AZ 86314-3825 |
| Practice Telephone | 9284429202 |
| Practice Fax Number | 9284423980 |
| Mailing Telephone | 9284429202 |
| Mailing Fax Number | 9284423980 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | AZ1119 | AZ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1225577166 | Kenneth Wanye Williams | Assistant Behavior Analyst | 3427 Cobblestone Dr, Spencer, OK 73084-3257 | 2017-02-13 |
| 1760934772 | Kenneth D Williams | Home Health Aide | 1044 Robert Rd, Old Forge, PA 18518-1106 | 2016-10-26 |
| 1194271452 | Kenneth Darnell Lorenzo Williams | Massage Therapist | 20311 Westmoreland Rd, Detroit, MI 48219-1476 | 2016-08-28 |
| 1386025674 | Kenneth James Williams | Dentist | 7014 E Camelback Rd # 509, Scottsdale, AZ 85251-1227 | 2015-06-12 |
| 1699040030 | Kenneth Williams | Counselor | 44 White River Ln, Defiance, MO 63341-1640 | 2012-03-19 |
| 1760650535 | Kenneth John Williams | Chiropractor | 154 N Market St, Frederick, MD 21701-5423 | 2008-02-14 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1699830414 | Kenneth Allan Williams | Pharmacist | 5730 Crawfordsville Rd, Indianapolis, IN 46224-3704 | 2006-12-22 |
| 1851480974 | Kenneth Williams | Internal Medicine | 1938 Crescent Meadow Drive, Holly Springs, MS 38635-3238 | 2006-10-12 |
| Street Address |
3250 GATEWAY BLVD #152 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-6849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672221 | Triton Care Systems Pllc | Optometrist | 3155 Stillwater Dr Ste A, Prescott, AZ 86305-7172 | 2020-02-28 |
| 1851816169 | Vision Source Prescott, Ltd. | Optometrist | 1435 N Acres Rd Ste 700, Prescott, WI 54021-7053 | 2017-08-08 |
| 1740705037 | Lauren West | Optometrist | 980 Willow Creek Rd Ste 202, Prescott, AZ 86301-1616 | 2017-08-07 |
| 1780989467 | Amy H Foreste Pllc | Optometrist | 3400 Gateway Blvd, Prescott, AZ 86303-6848 | 2011-01-11 |
| 1144400599 | Monica Rae Stotler | Optometrist | 1951 Commerce Center Cir, Unit A, Prescott, AZ 86301-7418 | 2007-11-13 |
| 1811182264 | Rodney W Bauer | Optometrist | 3050 Highway 69, Suite A, Prescott, AZ 86301 | 2007-09-10 |
| 1922299320 | Miranda Optometry, P. C. | Optometrist | 720 N Montezuma St Ste C, Prescott, AZ 86301-2068 | 2007-08-09 |
| 1851418719 | Todd G. Geiler | Optometrist | 1000 Willow Creek Rd Ste J, Prescott, AZ 86301-1645 | 2007-03-24 |
| 1518011527 | Dr Rod Bauer Optometry & Contact Lenses Ltd | Optometrist | 3050 Hwy 69, Suite A, Prescott, AZ 86301 | 2007-01-23 |
| 1083787030 | Patrick Allen Willer | Optometrist | 3911 E State Route 69, Prescott, AZ 86301-6717 | 2006-11-16 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.