NPI | 1972509156 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES HAMILTON WILLIAMSON Md, Medical Director, Owner 225-924-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 4458) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
152WC0802X Optometrist, Corneal and Contact Management | |
363A00000X Physician Assistant | |
152W00000X Optometrist (Licence: LA 4458) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2010-08-12 |