# WILLIS KNIGHTON OPHTHALMOLOGY BOSSIER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255127056
- **Authorized official:** MARY JANE WARD (SENIOR VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (318) 716-4891

## Contact information

- **Practice address:** 2300 HOSPITAL DR STE 350, BOSSIER CITY, LA 71111-2179
- **Practice address phone:** (318) 716-4891
- **Mailing address:** 2300 HOSPITAL DR STE 350, BOSSIER CITY, LA 71111-2179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2025
- **Last updated:** 04/17/2025