| NPI | 1831375369 |
|---|---|
| Doing Business As | WATERTOWN OPTICAL COMPANY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MORAN Owner Ophthalmogist 605-886-7722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: SD 4579) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SD 4579) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-06-17 |