| 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 | 152W00000X Optometrist |
| 152WC0802X Optometrist Corneal and Contact Management | |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |