Megan Watkins Kidd, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C38-TA-866 Issued in AL

Legal business name

MEGAN WATKINS KIDD, OD, LLC

Practice address

13847 Moonlight Dr
Northport, AL 35475-2924

Phone

(205) 317-8737

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Megan Watkins, OD

Title

Owner

Phone

(205) 317-8737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1558815134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 MOONLIGHT DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752924",
            "telephone_number": "205-317-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 MOONLIGHT DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752924",
            "telephone_number": "205-317-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN WATKINS KIDD, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-317-8737",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C38-TA-866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Northport, AL
• Providers in Northport, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.