Individual provider Active NPI

Robert Watters, O.D.

  • Optometrist
  • Centennial, CO
National Provider Identifier
1285018580
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003147 Issued in CO
Practice address
2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175
Phone
(720) 283-2020
NPI assigned
Jul 16, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003147 CO Primary

Addresses

Primary practice location

2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175

Mailing address

2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220330002572 MI Practitioner - Optometry 8921305103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norway Eye Care P.C.Group PAC ID 2769424886, 3 clinicians

Practice addresses (Care Compare)

525 W US Hwy 2
Norway, MI 49870-1127
Phone (906) 563-5711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003147COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norway Eye Care P.C. Optometrist CurrentSince Mar 1, 2022 Accepting new patients
All About Vision, LLC Past Accepting new patients

Locations

525 W US Highway 2
Norway, MI 49870
Phone (906) 563-5711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1285018580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E ARAPAHOE RD STE 921",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E ARAPAHOE RD STE 921",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223175",
            "telephone_number": "720-283-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.