Organization
WILLIAMSON EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H WILLIAMSON M.D. (MEDICAL DIRECTOR)
(225) 924-2020
Entity
Organization
Contact information
Practice address
2308 S BURNSIDE AVE, GONZALES, LA 70737-4643
(225) 644-7525
(225) 647-3710
Mailing address
2308 S BURNSIDE AVE, GONZALES, LA 70737-4643
(225) 644-7525
(225) 647-3710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
773206T
LA
152W00000X
Optometrist
830260T
LA
207W00000X
Ophthalmology Physician
Primary
MD014115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797359
—
LA
Enumeration date
01/30/2007
Last updated
08/26/2008
Update your record
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