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 |