Provider Demographics
NPI:1043227945
Name:WATSON, CHRISTINE MARY (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARY
Last Name:WATSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4801 COTSWOLD CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-5702
Mailing Address - Country:US
Mailing Address - Phone:757-645-5853
Mailing Address - Fax:757-314-7913
Practice Address - Street 1:MCDONALD ARMY HEALTH CENTER
Practice Address - Street 2:BLDG. 576 JEFFERSON AVENUE
Practice Address - City:FT. EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-7620
Practice Address - Country:US
Practice Address - Phone:757-314-7620
Practice Address - Fax:757-314-7913
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDMD1435152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist