Active NPI
Gabriella Antionette Watson, OD
- Optometrist
- West Roxbury, MA
National Provider Identifier
1750162640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5682
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (617) 323-7700
- NPI assigned
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT5682 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
3200 Washington St
Boston, MA 02130-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
50 Staniford St
Suite 600
Boston, MA 02114-2504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5682 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Consultants of Boston, Inc. | Current | Accepting new patients | |
| Ophthalmic Consultants of Boston, Inc. | Current | Accepting new patients | |
| Ophthalmic Consultants of Boston, Inc | Optometrist | Current | Accepting new patients |
| Ophthalmic Consultants of Boston, Inc. | Current | Accepting new patients | |
| Redstone Eye Associates, LLC | Optometrist | Current | Accepting new patients |
Locations
50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800
625 Mount Auburn St
Ste 100
Cambridge, MA 02138
Phone (617) 354-3130
282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720
75 Main St
Stoneham, MA 02180
Phone (781) 438-2505
Interoperability endpoints
- watson.gabriella.ocb@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932146594
-
- Optometrist
- Stoneham, MA
- NPI 1982783676
-
- Ophthalmology Physician
- West Yarmouth, MA
- NPI 1437374428
-
- Ophthalmology Physician
- Boston, MA
- NPI 1730404328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1750162640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021302333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "617-323-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "GABRIELLA",
"middle_name": "ANTIONETTE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OPT5682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.