Neil Lawrence Watkins, MD
Individual provider Active NPI Ophthalmology Physician · Gary, IN
NPI 1295744993 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1295744993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 01039743A (IN)
- Practice address
- 650 Grant St
Suite 7
Gary, IN 46404-1533 - Phone
- (219) 885-0116
- Fax
- (219) 881-0522
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- JS Weill Medical College, Cornell University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2318 W 5TH Ave
Gary, IN 46404-1331
Phone (219) 885-0116
8518 Broadway
Merrillville, IN 46410-7032
Phone (219) 769-3555
Hospital & facility affiliations
- Methodist Hospitals Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070823000530 | IN | Practitioner - Ophthalmology |
2567561673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036086767 | IL | MD | Ophthalmology Physician |
| 01039743A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 20 20 Eye Specialists PC | Ophthalmology | Current |
Accepting new patients |
| Medical Clinics of America, P.C. | Past | Accepting new patients |
Locations
2318 W 5th Ave
Gary, IN 46404
Phone (219) 883-8394
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JACADA
- https://fhir4.healow.com/fhir/r4/JACADA/Endpoint/JACADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01039743A | IN | Yes |
| Ophthalmology Physician | 207W00000X | 036086767 | IL |
Addresses
Primary practice location
650 Grant St
Suite 7
Gary, IN 46404-1533
Mailing address
PO Box 366
Gary, IN 46402-0366
Phone (219) 885-0116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180041574 | Other | IN | RAILROAD MEDICARE |
| 036086767 | Medicaid | IL | |
| 100147800A | Medicaid | IN | |
| 000000219285 | Other | IN | ANTHEM - BCBS |
Other providers in Gary, IN
- Jacqueline Denise Washington
- Mark Alan Washington
- Yassmine Washington
- Michelle Wathier
- Channae Watkins
- We Are the Village Inc.
- We Are the Village LLC
- Virni Webb
- Latonya Sharie Wells-Johnson
- Anne M Wells
All providers in Gary, IN · Ophthalmology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.