Provider Demographics
NPI:1720180425
Name:WILLIAMS, FRANK E (OD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:E
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 1:411 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2805
Mailing Address - Country:US
Mailing Address - Phone:308-865-2760
Mailing Address - Fax:308-345-2106
Practice Address - Street 1:411 W 39TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845
Practice Address - Country:US
Practice Address - Phone:308-865-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE06979OtherBLUE CROSS BLUE SHIELD
NE10025049300Medicaid
NE06979OtherBLUE CROSS BLUE SHIELD
NEU76084Medicare UPIN