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General NPI Number Information
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NPI Number | 1528064573
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Entity Type | Organization
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Legal Business Name | BEST VISION CENTER, LLC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5233 MAIN ST STE A
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City | ZACHARY
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State | LA
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Zip | 70791-3978
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Country | US
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Telephone | 225-654-0196
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Fax | 225-654-8044
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Provider Business Mailing Address
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Address Line | 5233 MAIN ST STE A
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City | ZACHARY
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State | LA
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Zip | 70791-3978
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Country | US
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Telephone | 225-654-0196
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Fax | 225-654-8044
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES HAMILTON WILLIAMSON
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Credential | MD
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Telephone | 225-924-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 4457
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License Number State | LA
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