Individual
DR. CARRIE LEANN WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2539 MARVIN RD. NE SUITE B, LACEY, WA 98516
(360) 459-3333
(360) 459-2724
Mailing address
2539 MARVIN RD NE SUITE B, LACEY, WA 98516
(360) 459-3333
(360) 459-2724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028256
—
OR
Enumeration date
09/29/2005
Last updated
10/05/2015
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