Mark Raymond Watson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC-4076 Issued in FL

Practice address

3175 Cheney Hwy
Titusville, FL 32780-5979

Phone

(321) 383-8040

Fax

(321) 267-1544

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mark Raymond Watson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Perry, FL
  • NPI 1437537529
  NPD (past)
• Robert S. Webster

  • Optometrist
  • Oviedo, FL
  • NPI 1841405115
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1700856861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 DEER OAK CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327668111",
            "telephone_number": "904-589-8512",
            "fax_number": "904-579-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805979",
            "telephone_number": "321-383-8040",
            "fax_number": "321-267-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-4076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CX186A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "WATSON",
            "middle_name": "RAYMOND",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dawn Warner, MA,NCC,LMHC.
• Angelica Washington
• Dawn Renee Washington
• Christie Castillo Watson, OTR/L
• Linda D Watson, NP
• Tyra Ashley Watson
• Jennifer Marie Watts, ARNP
• Waypoint Medical LLC
• We R Heroes LLC
• Ethan Alan Webb, M.D.

• Optometrist in Titusville, FL
• Providers in Titusville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.