Individual provider Active NPI

William A Watson, O.D.

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1629132477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
2 Woodfield Mall
Schaumburg, IL 60173-5012
Phone
(847) 330-0010
Fax
(847) 330-2236
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

2 Woodfield Mall
Schaumburg, IL 60173-5012

Mailing address

2 Woodfield Mall
Schaumburg, IL 60173-5012
Phone (847) 330-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070426000458 IL Practitioner - Optometry 1759487416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

1 N Virginia St
Crystal Lake, IL 60014-4157
Phone (815) 455-9393

2100 Troy Rd
Edwardsville, IL 62025-2595
Phone (618) 656-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009165ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Jan 15, 2014 Accepting new patients
Visionworks, Inc CurrentSince Jan 15, 2014 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Cole Vision Corporation Optometrist Past Accepting new patients
William a. Watson O.D. P.C. Past Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

1 N Virginia St
Crystal Lake, IL 60014
Phone (815) 455-9393

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

1603 N Alpine Rd
Ste 121
Rockford, IL 61107
Phone (815) 397-5959

Interoperability endpoints

  • Direct secure messaging: will.watson@uprisedirect.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629132477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WOODFIELD MALL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735012",
            "telephone_number": "847-330-0010",
            "fax_number": "847-330-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WOODFIELD MALL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735012",
            "telephone_number": "847-330-0010",
            "fax_number": "847-330-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.