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NPI Code Detail

MEDICARE: WILLIAMSON EYE CENTER

MEDICARE: WILLIAMSON EYE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist773206TLA
2152W00000XOptometrist830260TLA
3207W00000XOphthalmology PhysicianMD014115LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699812909
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMSON EYE CENTER
Provider Business Mailing Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Provider Business Practice Location Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : CHARLES H WILLIAMSON
Credential : M.D.
Telephone Number : 225-924-2020
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/26/2008

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70737-4643
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1730444704 — DR. LAWRENCE HOANG PHAM O.D.
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2308 S BURNSIDE AVE
GONZALES, LA
70737-4643
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1295340370 — MATTHEW NEIL BARNES OD
Practice Location Address:
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70737-4643
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Practice Fax: 225-647-3710

Directions to “WILLIAMSON EYE CENTER ” Practice Location

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