Watson Retina LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

WATSON RETINA LLC

Practice address

4505 Pine Tree Cir Ste 120
Vestavia, AL 35243-2380

Phone

(205) 637-7123

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Richard WatsonNPI 1144545740

Title

MD

Phone

(205) 637-7123

Specialties & licenses 3

Addresses

Other names 1

• Watson Retina Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Watson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Vestavia, AL
  • NPI 1144545740
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1376170274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 PINE TREE CIR STE 120",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432380",
            "telephone_number": "205-637-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 PINE TREE CIR STE 120",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432380",
            "telephone_number": "205-637-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "205-637-7123"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Retina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watson Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Warren, CRNP
• Antoinette Washington
• Candy Nicole Washington, NURSE PRACTITIONER
• Jekarii Washington
• Raven Washington
• Jada Watson
• Marigny Watson, PT, DPT
• Richard Watson, MD
• Ryleigh Eden Watts, CRNA
• Mikyla Briann Weatherington

• Retina Specialist (Ophthalmology) Physician in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Retina Specialist (Ophthalmology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.