NPI 1679170641

Joseph C McWilliams

Practitioner Eyewear Supplier Fairbanks, AK

Practice location

Address: 29 College Rd STE 14, Fairbanks, AK 99701-1739
Phone: (907) 590-1821
Mailing address: PO Box 30032, Central, AK 99730-0032

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 2110250 (AK)

Other Eyewear Supplier providers in Alaska →

Registry record

NPI: 1679170641
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2020
Record last updated: 2 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.