Organization Active NPI

Randy Watsky Odpc

  • Optometrist
  • Brighton, MI
National Provider Identifier
1073831822
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RANDY WATSKY ODPC
Practice address
8709 W Grand River Ave
Suite a
Brighton, MI 48116-2923
Phone
(810) 220-4499
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Randy Gregg Watsky, OD
Title
Optometrist
Phone
(810) 220-4499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Corneal and Contact Management Optometrist 152WC0802X

Addresses

Primary practice location

8709 W Grand River Ave
Suite a
Brighton, MI 48116-2923

Mailing address

8709 W Grand River Ave
Suite a
Brighton, MI 48116-2923
Phone (810) 220-4499

National Provider Directory

National Provider Directory

Locations

8709 W Grand River Ave
Ste A
Brighton, MI 48116
Phone (810) 220-4499

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1073831822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 W GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162923",
            "telephone_number": "810-220-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 W GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162923",
            "telephone_number": "810-220-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY WATSKY ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "WATSKY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-220-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.