Lawrence C Watson OD a Professional Optometric Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5967TPL Issued in CA

Legal business name

LAWRENCE C WATSON OD A PROFESSIONAL OPTOMETRIC CORP.

Practice address

73211 Fred Waring Dr Ste 102
Palm Desert, CA 92260-2871

Phone

(760) 346-1136

Fax

(760) 568-1589

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence Watson, ODNPI 1073697843

Title

President

Phone

(760) 346-1136

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Lawrence Charles Watson, OD

  • Optometrist
  • Palm Desert, CA
  • NPI 1073697843
  Medicare reassignment NPD Authorized official
• Kailee K Watson, O.D.

  • Optometrist
  • Palm Desert, CA
  • NPI 1407103690
  Medicare reassignment NPD

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1891976379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-346-1136",
            "fax_number": "760-568-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C WATSON OD A PROFESSIONAL OPTOMETRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-346-1136",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5967TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0059670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lewis Larson, P.A.
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• Sally Rochie Lawes, LPC
• Tiarra R Laws
• Cheri Ann Layman
• Le Roy Chiropractic Corporation
• Lawrence E Le Roy III, D.C.
• Xuan Thanh Le-Nguyen, M.D

• Optometrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.