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
5233 MAIN ST, STE A, ZACHARY, LA 70791-3978
(225) 654-0090
(225) 654-8044
Mailing address
5233 MAIN ST, STE A, ZACHARY, LA 70791-3978
(225) 654-0090
(225) 654-8044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4458
LA
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
4458
LA
332H00000X
Eyewear Supplier
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797359
—
LA
Enumeration date
06/22/2005
Last updated
08/12/2010
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