# EYE CARE & COSMETIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Williamson Allemond Regional Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639258726
- **Authorized official:** MRS. KIMBERLY J SCHOBER (BILLING / CODING MANAGER)
- **Authorized official phone:** (225) 654-1061

## Contact information

- **Practice address:** 2421 CHURCH ST, ZACHARY, LA 70791-2710
- **Practice address phone:** (225) 654-1061
- **Mailing address:** 2421 CHURCH ST, ZACHARY, LA 70791-2710
- **Mailing address phone:** (225) 654-1061

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1459518 | — | LA |