Provider Demographics
NPI:1598895039
Name:ARTHUR F WILLIAMS INC
Entity Type:Organization
Organization Name:ARTHUR F WILLIAMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-224-2883
Mailing Address - Street 1:772 CLEVELAND AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1347
Mailing Address - Country:US
Mailing Address - Phone:651-224-2883
Mailing Address - Fax:651-224-6865
Practice Address - Street 1:772 CLEVELAND AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1347
Practice Address - Country:US
Practice Address - Phone:651-224-2883
Practice Address - Fax:651-224-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
20203AROtherBLUE CROSS BLUE SHIELD
AW27002OtherSPECTERA
AW27003OtherSPECTERA
0007626168OtherAETNA
2124070OtherMEDICA
2201472OtherMEDICA
830031025011OtherPREFERRED ONE
06929AROtherBLUE CROSS BLUE SHIELD
MN2771OtherEYEMED
830031025011OtherPREFERRED ONE
MN0494780001Medicare ID - Type Unspecified