Organization · Type 2 NPI
Watertown Medical Optical PLLC
Eyewear Supplier · Watertown, NY
NPI number
1730203548
Active
Practice location
1815 State Street
Watertown, NY 13601
Fax (315) 788-1950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | VUT0053871 (NY) |
| Ophthalmology Physician | 207W00000X | 2060481 (NY) |
| Ophthalmology Physician | 207W00000X | None listed |
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1730203548
Watertown Medical Optical PLLC's National Provider Identifier is 1730203548, issued on Mar 19, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Watertown, NY. The record was last updated on Apr 15, 2013.