Individual
KEITH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009274
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV009274
NY
152WP0200X
Pediatric Optometrist
TUV009274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06488393
—
NY
Enumeration date
01/25/2006
Last updated
05/20/2022
Update your record
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