Individual
DR. ANN CHAPMAN WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3193
MEDICARE RAILROAD GROUP #
MO
01
—
P00161233
MEDICARE RAILROAD PIN
MO
01
—
T02689
MISSOURI LICENSE NUMBER
MO
Enumeration date
07/07/2005
Last updated
02/12/2008
Update your record
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