Organization
C. WATT TATE O.D. AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WATSON TATE O.D. (PRESIDENT/OWNER)
(614) 795-0791
Entity
Organization
Contact information
Practice address
1325 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 888-3972
Mailing address
15400 FLADT RD, MARYSVILLE, OH 43040-9517
(614) 795-0791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5664
OH
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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