Active NPI
Randy Watsky Odpc
- Optometrist
- Brighton, MI
National Provider Identifier
1073831822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.