Individual
AMY CROTEAU WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3185
(617) 573-6871
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3185
(617) 573-6871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74986201
—
NM
01
—
NM00PA25
BC BS OF NM
NM
01
—
P00323162
RRB MEDICARE RAILROAD
NM
Enumeration date
06/15/2006
Last updated
07/23/2013
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