Individual
DAVID MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1330 N EISENHOWER DR, BECKLEY, WV 25801
(304) 250-0336
(304) 250-0339
Mailing address
3891 RIVERPARK AVE, ONA, WV 25545
(304) 546-5870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6690
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150535000
—
WV
Enumeration date
08/03/2006
Last updated
07/08/2007
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