Provider Demographics
NPI:1861635930
Name:WILLIAMS, ESTHER M (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S BROADWAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1210
Mailing Address - Country:US
Mailing Address - Phone:856-963-7000
Mailing Address - Fax:856-963-7000
Practice Address - Street 1:300 S BROADWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1210
Practice Address - Country:US
Practice Address - Phone:856-963-7000
Practice Address - Fax:856-963-7007
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-19
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1760156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician