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Contact Information

MISTY M WATTERS, OD
310 W MAIN ST
SPARTA, WI54656
 Phone: 608-785-0940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MISTY M WATTERS · (Female)

NPI # 1720286784
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/10/2007
Last updated 09/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3079-035
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM- FRANCISCAN MED CTR INC - (Acute Care)
    700 WEST AVENUE SOUTH
    LA CROSSE, WI 54601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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