Waterman Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG-397 Issued in RI

Legal business name

WATERMAN EYE CARE, INC.

Practice address

426 Scrabbletown Rd
Suite a
North Kingstown, RI 02852-3649

Phone

(401) 295-7339

Fax

(401) 295-7311

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elliot D. Waterman, O.D.NPI 1649378431

Title

Owner

Phone

(401) 295-7339

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliot D. Waterman, O.D.

  • Optometrist
  • North Kingstown, RI
  • NPI 1649378431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1891822797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD",
            "address_2": "SUITE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523649",
            "telephone_number": "401-295-7339",
            "fax_number": "401-295-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD",
            "address_2": "SUITE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523649",
            "telephone_number": "401-295-7339",
            "fax_number": "401-295-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-295-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG-397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003840",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200506",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "003167",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27923-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "021362703",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Eastern Co Inc
• Liza Christine Ward, D.D.S.
• Elliot D. Waterman, O.D.
• Harold B Weaver, OTR
• Heidi Johanna Webster, M.S., CCC-SLP
• Norma Lynne Welitoff, MSW,LICSW
• Elizabeth Welshman, LICSW

• Optometrist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.