Whalio Doctors

NPI 1164586699

Michael Brian Watters, OD

Practitioner Optometrist Shawnee, OK

Practice location

Address
2020 N Harrison, Shawnee, OK 74804
Phone
(405) 273-7075
Fax
(405) 273-7405
Mailing address
2020 N Harrison St, Shawnee, OK 74804-3141

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2408 (OK)

Registry record

NPI
1164586699
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2006
Record last updated
31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.