Individual provider Active NPI

Joshua Watt, OD

  • Vision Therapy Optometrist
  • Colorado Springs, CO
National Provider Identifier
1831539741
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT.0002985 Issued in CO
Practice address
1710 Jet Stream Dr Ste 100
Colorado Springs, CO 80921
Phone
(719) 302-8922
Fax
(866) 477-3130
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPT.0002985 CO Primary

Addresses

Primary practice location

1710 Jet Stream Dr Ste 100
Colorado Springs, CO 80921

Mailing address

1710 Jet Stream Dr Ste 100
Colorado Springs, CO 80921-3937
Phone (719) 302-8922

Other practice location 1

1860 Woodmoor Dr
Ste 103
Monument, CO 80132-9093
Phone (719) 488-2042

Other practice location 2

363 Village Square Ln Ste 155
Castle Pines, CO 80108-3623
Phone (720) 726-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1831539741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "719-302-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-302-8922",
            "fax_number": "866-477-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Woodmoor Dr",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329093",
            "country_code": "US",
            "telephone_number": "719-488-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Village Square Ln Ste 155",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "801083623",
            "country_code": "US",
            "telephone_number": "720-726-5128",
            "fax_number": "866-477-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATT",
        "first_name": "JOSHUA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT.0002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.