NPI | 1699812909 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES H WILLIAMSON Medical Director 225-924-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD014115) |
Additional Taxonomies | 152W00000X Optometrist (Licence: LA 773206T) |
152W00000X Optometrist (Licence: LA 830260T) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2008-08-26 |