Individual provider Active NPI

Kinsey Watkins

  • Optometrist
  • Macon, GA
National Provider Identifier
1194216804
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003110 Issued in GA
Practice address
626 1St St
Macon, GA 31201-2805
Phone
(478) 743-4666
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003110 GA Primary

Addresses

Primary practice location

626 1St St
Macon, GA 31201-2805

Mailing address

626 1St St
Macon, GA 31201-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015000272 GA Practitioner - Optometry 0446502868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Second Sight LLCGroup PAC ID 9638570765, 3 clinicians

Practice addresses (Care Compare)

112 W Oak St
Griffin, GA 30224-4233
Phone (770) 227-2924

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003110GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Eye Group Optical CurrentSince Jul 23, 2018 Accepting new patients
Eye Physicians Professional Association CurrentSince Jul 23, 2018 Accepting new patients
Second Sight LLC Optometrist CurrentSince Aug 5, 2025 Accepting new patients
Vision Eye Group CurrentSince Jun 30, 2019 Accepting new patients

Locations

112 W Oak St
Griffin, GA 30224
Phone (770) 227-2924

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

626 1st St
Macon, GA 31201
Phone (478) 239-3765

Interoperability endpoints

  • Direct secure messaging: kwatkins@visioneyegroup.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1194216804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012805",
            "telephone_number": "478-743-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KINSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.