| NPI | 1790004398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H WILLIAMSON Md, Medical Director, Owner 225-924-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152W00000X Optometrist | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |