Michael R Waterman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT0005040 Issued in NY

Practice address

1 Paris Rd
New Hartford, NY 13413-2350

Phone

(315) 797-9091

Fax

(315) 797-9124

NPI assigned

Jul 6, 2005

Last updated

Jun 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hartford Optometry, PLLCGroup PAC ID 7315084282, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Hartford Optometry, PLLC

  • Optometrist
  • New Hartford, NY
  • NPI 1336378587
  Medicare reassignment Care Compare group NPD Authorized official
• Ohlbaum & Waterman Eye Associates

  • Optometrist
  • New Hartford, NY
  • NPI 1366455701
  Authorized official Same address or phone

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1730186768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132350",
            "telephone_number": "315-797-9091",
            "fax_number": "315-797-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132350",
            "telephone_number": "315-797-9091",
            "fax_number": "315-797-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0005040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kevin Walsh, DO
• Mark Warfel, DO
• Jacqueline D Warmuth, OTR
• Karen Warner, NP
• Sarah A. Waskiewicz
• Thomas Phillips Webb, OD
• Laura Wedemeyer, OTR
• Julie E. Wei, LCSW
• Brittany Leigh Weibel
• Daniel Richard Welchons

• Optometrist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.