Michael Watters INC

NPI #1265636922 in Shawnee, Oklahoma

Provider Information

NPI Number: 1265636922
Entity Type: Organization
Organization Name: Michael Watters INC
Primary Specialty: Optometrist
Enumeration Date: Jun 14, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 2020 N HARRISON
City: Shawnee
State: Oklahoma
ZIP Code: 74804
Phone: (405) 273-7075

Authorized Official

Name: MRS. LINDSEY HELEN YOUNG
Title: BILLING CLERK
Phone: (405) 273-7075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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