Organization
DOC EYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EDWARD WATSON OD (OWNER / MANAGER)
(860) 215-4009
Entity
Organization
Contact information
Practice address
155 WATERFORD PKWY N, WATERFORD, CT 06385-1208
(860) 215-4009
(518) 217-6004
Mailing address
218 AVALON PINES DR, CORAM, NY 11727-5151
(202) 909-6805
(518) 217-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008114807
—
CT
Enumeration date
10/07/2022
Last updated
02/26/2023
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