Individual provider Active NPI

Christine Mary Watson, OD

  • Optometrist
  • Ft. Eustis, VA
National Provider Identifier
1043227945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MD1435 Issued in MD
Practice address
McDonald Army Health Center
BLDG. 576 Jefferson Avenue
Ft. Eustis, VA 23604-7620
Phone
(757) 314-7620
Fax
(757) 314-7913
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MD1435 MD Primary

Addresses

Primary practice location

McDonald Army Health Center
BLDG. 576 Jefferson Avenue
Ft. Eustis, VA 23604-7620

Mailing address

4801 Cotswold CT
Williamsburg, VA 23188-5702
Phone (757) 645-5853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MD1435MDMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043227945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 COTSWOLD CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885702",
            "telephone_number": "757-645-5853",
            "fax_number": "757-314-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCDONALD ARMY HEALTH CENTER",
            "address_2": "BLDG. 576 JEFFERSON AVENUE",
            "city": "FT. EUSTIS",
            "state": "VA",
            "postal_code": "236047620",
            "telephone_number": "757-314-7620",
            "fax_number": "757-314-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "MD1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Eustis, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.