Provider Demographics
NPI:1457350373
Name:WILLIAMS, HILARY WELLS (OD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:WELLS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:96 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3930
Mailing Address - Country:US
Mailing Address - Phone:781-545-7851
Mailing Address - Fax:
Practice Address - Street 1:538 NANTASKET AVE
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2521
Practice Address - Country:US
Practice Address - Phone:781-925-5996
Practice Address - Fax:781-925-2351
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3554152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0355895Medicaid
MA17319OtherNEIGHBORHOOD HEALTH PLAN
MAW15951OtherBLUE CROSS BLUE SHEILD
MA9267435OtherCIGNA
MA04-3462299OtherCOMMONWEALTH INDEMNITY
MA2200471OtherUNITED HEALTH CARE
MA755283OtherTUFTS HEALTH PLAN
MA152105OtherHARVARD PILGRIM
MAW15951OtherBLUE CROSS BLUE SHEILD
MA04-3462299OtherCOMMONWEALTH INDEMNITY