Provider Demographics
NPI:1518018753
Name:WATKINS, SARAH M (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:WATKINS
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 1:702 S FOOTHILLS PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-2300
Mailing Address - Country:US
Mailing Address - Phone:865-982-6761
Mailing Address - Fax:
Practice Address - Street 1:702 S FOOTHILLS PLAZA DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-2300
Practice Address - Country:US
Practice Address - Phone:865-982-6761
Practice Address - Fax:865-982-7402
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5637152W00000X
TN2688152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist