Keith Watson

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009274 Issued in NY

Practice address

141 Washington Avenue Ext
Albany, NY 12205-5609

Phone

(518) 217-6008

Fax

(518) 217-6004

NPI assigned

Jan 25, 2006

Last updated

May 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Doc Eye LLC

  • Optometrist
  • Waterford, CT
  • NPI 1811612252
  Medicare reassignment NPD Authorized official
• Proeye, Inc.

  dba ProEye Associates

  • Optometrist
  • Lisbon, CT
  • NPI 1922147453
  Authorized official Same address or phone
• Long Island Optometric Eyecare,PC

  • Optometrist
  • Mastic, NY
  • NPI 1750738944
  NPD
• Pro Eye Inc

  • Optometrist
  • Vernon, CT
  • NPI 1710290580
  NPD
• Eyecare One Martinez LLC

  dba Broome Family Eyecare

  • Optometrist
  • Evans, GA
  • NPI 1043437486
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1194795948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WESTERN AVE",
            "address_2": "STE 51 #38008",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033520",
            "telephone_number": "518-217-6008",
            "fax_number": "182-176-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055609",
            "telephone_number": "518-217-6008",
            "fax_number": "518-217-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV009274",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV009274",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06488393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Watkins
• Peter Watrous, LCSW
• Jay Garson Watsky, M.D.
• Abigail R. Watson, MD
• Alexandra Watson, PHARM.D.
• Kelsey Elizabeth Watson
• Lawrence Peter Watson Jr., CRPA
• Kaylyn L Watterson, PHD
• Wayne Chan NP in Adult Health PLLC
• Emma Katherine Weaver

• Optometrist in Albany, NY
• Providers in Albany, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.