Lawrence Charles Watson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5967TPL Issued in CA

Practice address

73211 Fred Waring Dr
#102
Palm Desert, CA 92260-2871

Phone

(760) 346-1136

Fax

(760) 568-1589

NPI assigned

Oct 25, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lawrence C Watson OD a Professional Optometric Corp.

  • Optometrist
  • Palm Desert, CA
  • NPI 1891976379
  Medicare reassignment NPD Authorized official
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073697843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR",
            "address_2": "#102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-346-1136",
            "fax_number": "760-568-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR",
            "address_2": "#102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-346-1136",
            "fax_number": "760-568-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LAWRENCE",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5967TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0059670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terra Washington, LVN
• Watermark Carlotta, LLC (The Springs at the Carlotta)
• Watermark Carlotta, LLC (The Fountains at the Carlotta)
• Daniel Loyd Watson, PH. D.
• Kailee K Watson, O.D.
• Ben Stuart Wehrli, DPM
• Jessica Weigand, M.S., CCC-SLP
• Weissman & Stone Med GRP, Inc., a Professinal Corporation (Healthpoint)
• Well Trevi Carlotta SNF LLC
• Welltrust Home Health Care

• Optometrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.