Organization
TERRI SUSANNE JONES WATKINS ODPSC
Active
Other names
Watkins Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI SUSANNE JONES WATKINS OD (OWNER/PRESIDENT)
(270) 866-3177
Entity
Organization
Contact information
Practice address
24 CADEN WAY, SUITE 2, RUSSELL SPRINGS, KY 42642
(270) 866-3177
(270) 866-3155
Mailing address
PO BOX 582, RUSSELL SPRINGS, KY 42642-0582
(270) 866-3177
(270) 866-3155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1235DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012359
—
KY
Enumeration date
04/16/2014
Last updated
07/02/2014
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