Individual provider Active NPI

William J. Waterhouse, MD

  • Ophthalmology Physician
  • Grand JCT, CO
National Provider Identifier
1275536138
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33513 Issued in CO
Practice address
2478 Patterson Rd
# 7
Grand JCT, CO 81505-3605
Phone
(970) 255-7065
Fax
(970) 255-7076
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33513 CO Primary

Addresses

Primary practice location

2478 Patterson Rd
# 7
Grand JCT, CO 81505-3605

Mailing address

2478 Patterson Rd
# 7
Grand JCT, CO 81505-3605
Phone (970) 255-7065

Other identifiers 3

IdentifierTypeStateIssuer
WA93841OtherCOBCBS
841413590000OtherCOROCKY MTN HEALTH CARE OTN
01335132MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000403 CO Practitioner - Ophthalmology 7315062460 Reassigns benefits to 1 organization
Practice locations: Grand Junction, CO

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Center of Western Colorado RLLPGroup PAC ID 9436388329, 3 clinicians

Practice addresses (Care Compare)

2478 Patterson Rd
Suite 7
Grand JCT, CO 81505-3606
Phone (970) 255-7065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33513COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Center of Western Colorado RLLP Ophthalmology CurrentSince Jan 1, 2014 Accepting new patients

Locations

2478 Patterson Rd
Ste 7
Grand Junction, CO 81505
Phone (970) 255-7065

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1275536138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "# 7",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-255-7065",
            "fax_number": "970-255-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "# 7",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-255-7065",
            "fax_number": "970-255-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "33513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "WA93841",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH CARE OTN",
            "identifier": "841413590000",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335132",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

Verify at the official NPI Registry.