Organization
ANN C. WATERMAN DOCTOR OF OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN C WATERMAN O.D. (PRESIDENT CORP, OPTOMETRIST)
(816) 781-2100
Entity
Organization
Contact information
Practice address
15 W FRANKLIN ST, LIBERTY, MO 64068-1636
(816) 781-2100
(816) 781-2106
Mailing address
15 W FRANKLIN ST, LIBERTY, MO 64068-1636
(816) 781-2100
(816) 781-2106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2003015398
MO
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34970014
BCBSKC GROUP #
MO
01
—
DC3193
MEDICARE RAILROAD GROUP #
—
Enumeration date
02/22/2007
Last updated
09/08/2022
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