Individual
DR. O A WATSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
121 W SAN ANTONIO ST, SAN MARCOS, TX 78666-5551
(512) 396-3737
(512) 396-3745
Mailing address
121 W SAN ANTONIO ST, SAN MARCOS, TX 78666-5551
(512) 396-3737
(512) 396-3745
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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