Provider Demographics
NPI:1932263738
Name:WILLIAMS, DARCY L (OD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:L
Last Name:WILLIAMS
Suffix:
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 1:4240 ELMERTON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-2317
Mailing Address - Country:US
Mailing Address - Phone:717-652-7710
Mailing Address - Fax:717-541-9842
Practice Address - Street 1:4240 ELMERTON AVE
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2317
Practice Address - Country:US
Practice Address - Phone:717-652-7710
Practice Address - Fax:717-541-9842
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV03988Medicare UPIN
PA727197X3XMedicare PIN