Provider Demographics
NPI:1114237435
Name:TOUHILL-WATSON, ERICA L (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:L
Last Name:TOUHILL-WATSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W UPTON AVE
Mailing Address - Street 2:
Mailing Address - City:REED CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49677-1129
Mailing Address - Country:US
Mailing Address - Phone:616-481-3944
Mailing Address - Fax:
Practice Address - Street 1:6790 CANNON FARMS DR NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7720
Practice Address - Country:US
Practice Address - Phone:616-481-3944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004597152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist