O A Watson Jr., OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2196T Issued in TX

Practice address

121 W San Antonio St
San Marcos, TX 78666-5551

Phone

(512) 396-3737

Fax

(512) 396-3745

NPI assigned

Oct 4, 2005

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1518954510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W SAN ANTONIO ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665551",
            "telephone_number": "512-396-3737",
            "fax_number": "512-396-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W SAN ANTONIO ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665551",
            "telephone_number": "512-396-3737",
            "fax_number": "512-396-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "O",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "2470",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "2196T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00E89B",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "5123963737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nicole Walpole
• Andrew Lee Walsh III, MD
• Derrick Wansom, MD
• Robert L Ward, DO
• Meredith Collings Ware, B.S.
• Taylin Evette Watson, DPT
• Carolyn I. Watts, L.P.C.
• Taylor C Webb-Culver
• Britney Kate Webb
• Madison Raye Webb

• Vision Therapy Optometrist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.