Individual provider Active NPI

John A Waters, MD

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1396706925
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
382908096 Issued in MI
Practice address
5055 W Bristol Rd
Flint, MI 48507-2922
Phone
(810) 732-2272
Fax
(810) 732-8470
NPI assigned
Mar 31, 2006
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 382908096 MI Primary

Addresses

Primary practice location

5055 W Bristol Rd
Flint, MI 48507-2922

Mailing address

5055 W Bristol Rd
Flint, MI 48507-2922
Phone (810) 732-2272

Other identifiers 1

IdentifierTypeStateIssuer
180250173OtherMIBLUE CROSS BLUE SHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000572 MI Practitioner - Ophthalmology 0143391854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5055 W Bristol Rd
Flint, MI 48507-2922
Phone (810) 732-2272

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Eye Care, P.C. Ophthalmology CurrentSince Sep 1, 1998 Accepting new patients
Complete Eye Care, P.C. Ophthalmology CurrentSince Sep 1, 1998 Accepting new patients

Locations

5055 W Bristol Rd
Flint, MI 48507
Phone (810) 732-2272

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1396706925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-732-2272",
            "fax_number": "810-732-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-732-2272",
            "fax_number": "810-732-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "382908096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180250173",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.