Watson, Roger 'Ted'

Watson, Roger 'Ted' is an individual health care provider with primary practice located at 1950 Old Gallows Rd Suite 520, Vienna VA 22182-3990. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Watson, Roger 'Ted' can be contacted via phone (703) 847-8899.

Contact Information

Primary practice address
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990
Phone: (703) 847-8899
Fax: (703) 991-0514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1012 North Carolina

Profile Details

NPI number 1205899036
LBN Legal business name Watson, Roger 'Ted'
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 5th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205899036 NPPES
North Carolina Other 09962 BCBS PROV #
North Carolina MEDICAID 8909962 BCBS PROV #

Popular Providers