Individual
CARLA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
28402 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503-3924
(606) 237-0175
Mailing address
28402 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503-3924
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
298460
KY
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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