Individual provider Active NPI

Randee Miller Watson, M.D.

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1588977656
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301097016 Issued in MI
Practice address
29201 Telegraph Rd Ste 606
Southfield, MI 48034-1300
Phone
(248) 356-8610
Fax
(248) 356-6473
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301097016 MI
Ophthalmology Physician 207W00000X 4301097016 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 606
Southfield, MI 48034-1300

Mailing address

29201 Telegraph Rd Ste 606
Southfield, MI 48034-1300
Phone (248) 356-8610

Other practice location 1

17900 23 Mile Rd Ste 100
Macomb, MI 48044-1161
Phone (586) 522-4256

Other practice location 2

1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-6660

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
I20161230001107 MI Practitioner - Ophthalmology 0648495366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-7649
Phone (248) 356-8610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.85 of 100Reported as group
Quality
97.17
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Weiss MD&Mark Haimann MD&Joel Miller MD&Susan Malinowski MD Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients

Locations

50182 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 522-4256

29201 Telegraph Rd
Ste 606
Southfield, MI 48034
Phone (248) 356-8610

Interoperability endpoints

  • Direct secure messaging: rwatson1157140@direct.hfhs.org
  • Direct secure messaging: rwatson@retinas.intellechartdirect.net
  • Direct secure messaging: randee.watson.1@11987.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1588977656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341300",
            "telephone_number": "248-356-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341300",
            "telephone_number": "248-356-8610",
            "fax_number": "248-356-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17900 23 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441161",
            "country_code": "US",
            "telephone_number": "586-522-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127242",
            "country_code": "US",
            "telephone_number": "312-996-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RANDEE",
        "middle_name": "MILLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301097016",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301097016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.