Provider Demographics
NPI:1629157078
Name:WILLIAMS, DANIELLE WINZELER I (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:WINZELER
Last Name:WILLIAMS
Suffix:I
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-3105
Mailing Address - Country:US
Mailing Address - Phone:334-405-9480
Mailing Address - Fax:
Practice Address - Street 1:2464 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-6411
Practice Address - Country:US
Practice Address - Phone:334-792-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4080152W00000X
ALS-A92-TA-672152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist