Individual
DR. TORRENCE A WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 S 63RD ST, MESA, AZ 85206-1619
(480) 641-3937
(480) 924-5094
Mailing address
PO BOX 200414, DALLAS, TX 75320-0414
(480) 414-5022
(480) 786-3956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-001205
AZ
152W00000X
Optometrist
P0580A
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164225
AHCCCS
—
Enumeration date
06/16/2006
Last updated
04/02/2026
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