C. Watt Tate O.D. and Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5664 Issued in OH

Legal business name

C. WATT TATE O.D. AND ASSOCIATES, INC.

Practice address

1325 Cameron Ave
Lewis Center, OH 43035-9662

Phone

(614) 888-3972

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl Watson Tate, O.D.

Title

President/Owner

Phone

(614) 795-0791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366554651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 FLADT RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409517",
            "telephone_number": "614-795-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CAMERON AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359662",
            "telephone_number": "614-888-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. WATT TATE O.D. AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "614-795-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.