Provider Demographics
NPI:1790004398
Name:WILLIAMSON EYE CENTER
Entity Type:Organization
Organization Name:WILLIAMSON EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, MEDICAL DIRECTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:225-924-2020
Mailing Address - Street 1:18135 E PETROLEUM DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-6104
Mailing Address - Country:US
Mailing Address - Phone:225-752-0393
Mailing Address - Fax:225-665-2089
Practice Address - Street 1:18135 E PETROLEUM DR
Practice Address - Street 2:SUITE E
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-6104
Practice Address - Country:US
Practice Address - Phone:225-752-0393
Practice Address - Fax:225-665-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty