Waterbury & Olson Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4920 Issued in MA

Legal business name

WATERBURY & OLSON OPTOMETRY, P.C.

Practice address

27 Falmouth Heights Rd
Falmouth, MA 02540-3660

Phone

(508) 548-0505

Fax

(508) 548-0382

NPI assigned

Sep 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Waterbury, O.D.

Title

President

Phone

(508) 548-0505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348358400000",
    "number": "1184975732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FALMOUTH HEIGHTS RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403660",
            "telephone_number": "508-548-0505",
            "fax_number": "508-548-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FALMOUTH HEIGHTS RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403660",
            "telephone_number": "508-548-0505",
            "fax_number": "508-548-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY & OLSON OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A",
        "authorized_official_last_name": "WATERBURY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-548-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• WG Falmouth SH II, LLC

• Optometrist in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.