NPI 1699706986

Kevin Lynn Watters, OD

Practitioner Optometrist Battle Ground, WA

Practice location

Address: 101 NW 12th Ave Suite 101, Battle Ground, WA 98604-9141
Phone: (360) 687-0755
Fax: (360) 666-8664

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3123 (WA)

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Registry record

NPI: 1699706986
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 3 Dec 2009

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.