| NPI | 1467567149 |
|---|---|
| Professional Name | C. WATT TATE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002724) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5664) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-03-22 |