Jon M Williamson, OD

NPI #1932104114 in Sparta, Wisconsin

Provider Information

NPI Number: 1932104114
Entity Type: Individual
Name: Jon M Williamson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 15, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 1111 W WISCONSIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2233
Phone: (608) 269-6731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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