Provider Demographics
NPI:1073605507
Name:WILLIAMS, DONALD J (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MC A410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-5690
Practice Address - Fax:717-531-5009
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000401152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU52606OtherHEALTHAMERICA
PA14566 4061OtherGEISINGER HEALTH PLAN
PA7095POtherVISION BENEFITS OF AMERIC
PA34461OtherDAVIS VISION
PA02774800OtherCAPITAL BLUE CROSS
PA001806540Medicaid
PA396534OtherNATIONAL VISION ADMINST
PAWI 538271OtherCLARITY VISION
PAWI538271OtherHIGHMARK BLUE SHIELD
PAWI 538271OtherCLARITY VISION
PAU52606Medicare UPIN
PA538271Medicare ID - Type Unspecified
PA410035196Medicare ID - Type UnspecifiedRAILROAD MEDICARE