Provider Demographics
NPI:1447345350
Name:WILLIAMS-RUTT, APRIL (OD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:WILLIAMS-RUTT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:220 N MCKEMY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226
Mailing Address - Country:US
Mailing Address - Phone:480-961-1865
Mailing Address - Fax:480-961-4605
Practice Address - Street 1:860 S WATSON RD STE 107
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326
Practice Address - Country:US
Practice Address - Phone:623-386-8802
Practice Address - Fax:623-327-1669
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-001539152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ163156Medicare PIN
AZZ163154Medicare PIN
AZZ162079Medicare PIN
AZZ111800Medicare PIN
AZZ162076Medicare PIN
AZZ163152Medicare PIN
AZZ162074Medicare PIN
AZZ162077Medicare PIN
AZZ162078Medicare PIN
AZZ163026Medicare PIN
AZZ163153Medicare PIN
AZZ163155Medicare PIN
AZZ162075Medicare PIN