Individual
MICHAEL J WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
750 IRIS LANE, NEWTON, NC 28658
(828) 464-4136
(828) 464-6243
Mailing address
PO BOX 446, NEWTON, NC 28658-0446
(828) 464-4136
(828) 464-6243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2543
NC STATE OPTOMETRY LICENSE
NC
Enumeration date
08/20/2018
Last updated
06/11/2019
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