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Organization
WILLIAMSON EYE CENTER
Active
Organization
WILLIAMSON EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HAMILTON WILLIAMSON MD (MD, MEDICAL DIRECTOR, OWNER)
(225) 924-2020
Entity
Organization
Contact information
Practice address
2290 S RANGE AVE, DENHAM SPRINGS, LA 70726-5214
(225) 665-2019
(225) 665-2089
Mailing address
2290 S RANGE AVE, DENHAM SPRINGS, LA 70726-5214
(225) 665-2019
(225) 665-2089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
20093
LA
152WC0802X
Corneal and Contact Management Optometrist
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
20093
LA
332H00000X
Eyewear Supplier
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797359
—
LA
Enumeration date
06/16/2005
Last updated
08/12/2010
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