Provider Demographics
NPI:1043288202
Name:ADAMS, WILLIAM JUDD (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JUDD
Last Name:ADAMS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:103 N SAINT JOSEPH ST
Mailing Address - Street 2:P.O. BOX 107
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-2915
Mailing Address - Country:US
Mailing Address - Phone:501-354-1610
Mailing Address - Fax:501-354-1013
Practice Address - Street 1:103 N SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-2915
Practice Address - Country:US
Practice Address - Phone:501-354-1610
Practice Address - Fax:501-354-1013
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2509152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARU82549Medicare UPIN
AR49685Medicare PIN