Active NPI
Rossie Edward Watts, O.D.
- Optometrist
- Columbia, SC
National Provider Identifier
1578500047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 924
- Practice address
- 10060 Two Notch Rd
Columbia, SC 29223-4396 - Phone
- (803) 788-1597
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 924 | SC | Primary |
Addresses
Primary practice location
10060 Two Notch Rd
Columbia, SC 29223-4396
Mailing address
1 Coopersmith
Columbia, SC 29229-9055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO9248 | Medicaid | SC | |
| 04018 | Other | SC | SPECTERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 924 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578500047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COOPERSMITH",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 TWO NOTCH RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234396",
"telephone_number": "803-788-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "ROSSIE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DO9248",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "04018",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.