Michael D. Watts, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001713A Issued in IN

Legal business name

MICHAEL D. WATTS, O.D., P.C.

Practice address

1506 Beech St
Bedford, IN 47421-3014

Phone

(812) 275-7806

Fax

(812) 275-7852

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Watts, O.D.

Title

President

Phone

(812) 275-7806

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1124204797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BEECH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213014",
            "telephone_number": "812-275-7806",
            "fax_number": "812-275-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BEECH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213014",
            "telephone_number": "812-275-7806",
            "fax_number": "812-275-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. WATTS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-275-7806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001713A",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200887880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Autumn Mendoza, FNP
• John Mess, MS, LCACO
• Marilyn Meyer, OTR
• Michael John Meyer, DMD
• Paul Frederich Meyer, OTR
• Michael Meyer DMD PC
• Mid America Clinical Laboratories, LLC
• Midwest Medical Management, P.C.
• Tammy Milah
• Lynn Michelle Minton, LCSW, ACSW

• Optometrist in Bedford, IN
• Providers in Bedford, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.