Ann Chapman Waterman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02689 Issued in MO

Practice address

15 W Franklin St
Liberty, MO 64068-1636

Phone

(816) 781-2100

Fax

(816) 781-2106

NPI assigned

Jul 7, 2005

Last updated

Feb 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ann C Waterman Doctor of Optometry PCGroup PAC ID 1951364553, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

• Direct secure messaging: acw@libertyoptometry.libertyoptometry.eyeclinicdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ann C. Waterman Doctor of Optometry, P.C.

  • Optometrist
  • Liberty, MO
  • NPI 1366577272
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1023015872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W FRANKLIN ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681636",
            "telephone_number": "816-781-2100",
            "fax_number": "816-781-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W FRANKLIN ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681636",
            "telephone_number": "816-781-2100",
            "fax_number": "816-781-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "ANN",
        "middle_name": "CHAPMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00161233",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE NUMBER",
            "identifier": "T02689",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP #",
            "identifier": "DC3193",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Walsh
• Jessica Ashley Ward
• Kristen D Ward, FNP
• Jessica Warner
• Nicholas Warren, M.D.
• Deena Watkins
• Ashley Lauren Watson, LAT, ATC
• Ian Scott Watson
• Lisa Wayman, PHARM D.
• Ava Weakley, SLP-CF

• Optometrist in Liberty, MO
• Providers in Liberty, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.