Watson, Mark Raymond
Watson, Mark Raymond is an sole proprietor health care provider with primary practice located at 3175 Cheney Hwy , Titusville FL 32780-5979. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Watson, Mark Raymond can be contacted via phone (321) 383-8040.Contact Information
Primary practice address
3175 Cheney Hwy
Titusville FL 32780-5979
Phone: (321) 383-8040
Fax: (321) 267-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC-4076 | Florida |
Profile Details
| NPI number | 1700856861 |
|---|---|
| LBN Legal business name | Watson, Mark Raymond |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 24th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700856861 | NPPES |
| Florida | Other | CX186A | MEDICARE PTAN |
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