Provider Demographics
NPI:1770958282
Name:ERICA LEE TOUHILL WATSON OD PC
Entity type:Organization
Organization Name:ERICA LEE TOUHILL WATSON OD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TOUHILL WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD, PC
Authorized Official - Phone:616-481-3944
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:231-832-3133
Mailing Address - Fax:231-832-1417
Practice Address - Street 1:115 W UPTON AVE
Practice Address - Street 2:
Practice Address - City:REED CITY
Practice Address - State:MI
Practice Address - Zip Code:49677-1129
Practice Address - Country:US
Practice Address - Phone:231-832-3133
Practice Address - Fax:231-832-1417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty