| 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 |