Watson Dry Eye Center, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WATSON DRY EYE CENTER, PA

Practice address

11081 Wake Forest Drive
Suite112
Raleigh, NC 27614-7655

Phone

(252) 231-0424

Fax

(252) 231-0580

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Austin Watson, M.D.NPI 1184685646

Title

President

Phone

(252) 231-0424

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Watson Eye Associates, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Susan Austin Watson, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1184685646
  Medicare reassignment NPD Authorized official
• Odette Margit Houghton, MD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1205873791

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1467413617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SHADY CIRCLE DRIVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031715",
            "telephone_number": "252-231-0424",
            "fax_number": "252-231-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11081 WAKE FOREST DRIVE",
            "address_2": "SUITE112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147655",
            "telephone_number": "252-231-0424",
            "fax_number": "252-231-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON DRY EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-231-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890285G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0285G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Eye Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Amanda Watkins, RN
• Thomas Franklin Watkins, CSAC, LCAS
• Tomicka Renee Watkins, MS,CCC-SLP
• Chardae Watley
• Tociana Watley, LCSWA
• Chanielle Watson
• Christina Watson
• Christina Mary Watson, P.T.
• Crystal Grace Watson, DDS
• Derek Philip Watson, MD

• Ophthalmology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.