Individual
ANGELA M WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1116 W GANSON ST, JACKSON, MI 49202-4240
(800) 551-7347
Mailing address
850 W NORTH ST STE 104, JACKSON, MI 49202-3196
(517) 841-3027
(517) 817-0144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C848370
BCBSM
MI
01
—
900N834800
BCBSM
MI
Enumeration date
01/12/2007
Last updated
03/13/2023
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