Courtland J Watson in Roseville - Optometrist
Courtland J Watson - NPI 1093749434
Courtland J Watson is a Optometrist in Roseville, Minnesota. Courtland J Watson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Courtland J Watson is 1093749434. The last update date is 2013-01-31.
Courtland J Watson's current location address is 2480 Fairview Ave N, Roseville, Minnesota. You can contact this provider via phone number 6516390407 and fax number 6516392503. The mailing address for Courtland J Watson is 2480 Fairview Ave N, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtland J Watson |
|---|---|
| Address | 2480 Fairview Ave N, Roseville, Minnesota |
| Phone Number | 6516390407 |
| Fax Number | 6516392503 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1093749434 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2013-01-31 |
Provider Mailing Address Detail
| Address | 2480 Fairview Ave N |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551132699 |
| Phone Number | 6516390407 |
| Fax Number | 6516392503 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2167 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 386219400 | MN | -- |
Post Comment/ Review Below
What is the Courtland J Watson's unique identification number?
The Courtland J Watson has been assigned the NPI (National Provider Identifier) Number 1093749434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Courtland J Watson's physical address?
The Courtland J Watson is physically located at 2480 Fairview Ave N, in the city of Roseville, MN, with the postal code 551132699.
What is Courtland J Watson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Courtland J Watson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did Courtland J Watson receive its 1093749434 assignment from the Centers for Medicare & Medicaid Services?
The Courtland J Watson was assigned its 1093749434 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Courtland J Watson most recently updated or refreshed?
The details pertaining to the Courtland J Watson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-31.