Organization Active NPI

Watson'S Optical Inc.

  • Eyewear Supplier
  • Huntingdon, PA
National Provider Identifier
1083761928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WATSON'S OPTICAL INC.
Practice address
RT 22 Crooked Creek Road
Box 250 Suite 2
Huntingdon, PA 16652
Phone
(717) 242-2721
Fax
(717) 242-3510
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Richard Watson
Title
President
Phone
(717) 242-2721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X PA Primary

Addresses

Primary practice location

RT 22 Crooked Creek Road
Box 250 Suite 2
Huntingdon, PA 16652

Mailing address

RT 22 Crooked Creek Road
RR4 Box 250 Suite 2
Huntingdon, PA 16652
Phone (717) 242-2721

Other identifiers 2

IdentifierTypeStateIssuer
288845OtherPABLUE SHIELD
0008462640001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Watsons Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083761928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 22 CROOKED CREEK ROAD",
            "address_2": "RR4 BOX 250 SUITE 2",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "16652",
            "telephone_number": "717-242-2721",
            "fax_number": "717-242-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 22 CROOKED CREEK ROAD",
            "address_2": "BOX 250 SUITE 2",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "16652",
            "telephone_number": "717-242-2721",
            "fax_number": "717-242-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON'S OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-242-2721"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "288845",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008462640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.