Individual
DR. O A WATSON JR.
Active
Individual
DR. O A WATSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2196T
TX
152WV0400X
Vision Therapy Optometrist
2470
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E89B
BLUE CROSS BLUE SHIELD
TX
01
—
5123963737
VSP
TX
Enumeration date
10/04/2005
Last updated
06/12/2008
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