Active NPI
Williamson Eye Center
- Ophthalmology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 382184
- Legal business name
- WILLIAMSON EYE CENTER
- Practice address
- 550 Connells Park LN
Baton Rouge, LA 70806-6539 - Phone
- (225) 924-2020
- Fax
- (225) 925-0225
- NPI assigned
- Jun 16, 2005
- Last updated
- Aug 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Hamilton Williamson, MD
- Title
- MD, Medical Director, Owner
- Phone
- (225) 924-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 382184 | LA | |
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Ophthalmology Physician | 207W00000X | 382184 | LA | Primary |
| Eyewear Supplier | 332H00000X | |||
| Physician Assistant | 363A00000X | 382184 | LA |
Addresses
Primary practice location
550 Connells Park LN
Baton Rouge, LA 70806-6539
Mailing address
550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1797359 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000144 | LA | Part B Supplier - Clinic/Group Practice | 9335131192 |
Receives reassigned benefits from 27 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gonzales, LA; Zachary, LA; Saint Francisville, LA; New Roads, LA; Lutcher, LA; Denham Springs, LA; Baton Rouge, LA |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1396740122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1841295888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CONNELLS PARK LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066539",
"telephone_number": "225-924-2020",
"fax_number": "225-925-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CONNELLS PARK LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066539",
"telephone_number": "225-924-2020",
"fax_number": "225-925-0225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSON EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "HAMILTON",
"authorized_official_title_or_position": "MD, MEDICAL DIRECTOR, OWNER",
"authorized_official_telephone_number": "225-924-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "382184",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "382184",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "382184",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1797359",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.