Individual provider Active NPI

Tonya Watson, O.D., PH.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1609908128
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11994T Issued in CA
Practice address
552 Castro St
San Francisco, CA 94114-2512
Phone
(415) 626-0858
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11994T CA Primary

Addresses

Primary practice location

552 Castro St
San Francisco, CA 94114-2512

Mailing address

2207 Damuth St
Unit 3
Oakland, CA 94602-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000282 CA Practitioner - Optometry 3476730474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

522 A Castro St
San Francisco, CA 94114-2512

552 A Castro St
San Francisco, CA 94114-2512
Phone (510) 684-0813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11994TCAMDOptometrist
11994CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tonya Watson O D Inc Optometrist CurrentSince Nov 8, 2011 Accepting new patients
Regents of the University of California at Berkeley Optometrist PastSince Jun 7, 1991 Accepting new patients

Locations

552 Castro St
San Francisco, CA 94114
Phone (415) 562-0858

552 Castro St
#A
San Francisco, CA 94114
Phone (510) 684-0813

Interoperability endpoints

  • Direct secure messaging: twatson585354@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1609908128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 DAMUTH ST",
            "address_2": "UNIT 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 CASTRO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142512",
            "telephone_number": "415-626-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TONYA",
        "name_prefix": "Dr.",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11994T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.