NPIMap

Organization Active NPI

Williamson Eye Center

  • Ophthalmology Physician
  • Zachary, LA
National Provider Identifier
1972509156
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4458 Issued in LA
Legal business name
WILLIAMSON EYE CENTER
Practice address
5233 Main St
Ste a
Zachary, LA 70791-3978
Phone
(225) 654-0090
Fax
(225) 654-8044
NPI assigned
Jun 22, 2005
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Hamilton Williamson, MDNPI 1396740122
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 connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4458 LA
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 4458 LA Primary
Eyewear Supplier 332H00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

5233 Main St
Ste a
Zachary, LA 70791-3978

Mailing address

5233 Main St
Ste a
Zachary, LA 70791-3978
Phone (225) 654-0090

Other identifiers 1

IdentifierTypeStateIssuer
1797359MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2106957Williamson Eye Center5233 Main Street Suite a, Zachary, LA 70791Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1972509156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 MAIN ST",
            "address_2": "STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913978",
            "telephone_number": "225-654-0090",
            "fax_number": "225-654-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 MAIN ST",
            "address_2": "STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913978",
            "telephone_number": "225-654-0090",
            "fax_number": "225-654-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "4458",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "4458",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797359",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.