Organization Active NPI

William E Watson OD PC

  • Durable Medical Equipment & Medical Supplies
  • Livingston, TX
National Provider Identifier
1346508231
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1952 Issued in TX
Legal business name
WILLIAM E WATSON OD PC
Practice address
1110 W Church St
Livingston, TX 77351-3017
Phone
(936) 327-3821
Fax
(936) 327-4970
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. William E Watson, ODNPI 1245268184
Title
President
Phone
(936) 327-3821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1952 TX Primary

Addresses

Primary practice location

1110 W Church St
Livingston, TX 77351-3017

Mailing address

1110 W Church St
Livingston, TX 77351-3017
Phone (936) 327-3821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000018 TX Part B Supplier - Clinic/Group Practice 3779603006 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, TX

National Provider Directory

National Provider Directory

Locations

1110 W Church St
Livingston, TX 77351
Phone (409) 327-4830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1346508231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513017",
            "telephone_number": "936-327-3821",
            "fax_number": "936-327-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513017",
            "telephone_number": "936-327-3821",
            "fax_number": "936-327-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E WATSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-327-3821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.