Active NPI
William J. Waterhouse, MD
- Ophthalmology Physician
- Grand JCT, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33513
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA93841 | Other | CO | BCBS |
| 841413590000 | Other | CO | ROCKY MTN HEALTH CARE OTN |
| 01335132 | Medicaid | CO |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33513 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Retina Center of Western Colorado RLLP | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Grand Junction, CO
- NPI 1477892172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.