Active NPI
Watters Vision Care Inc
- Optometrist
- Battle Ground, WA
National Provider Identifier
1912235078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3123
- Legal business name
- WATTERS VISION CARE INC
- Practice address
- 101 NW 12TH Ave
Suite 101
Battle Ground, WA 98604-9141 - Phone
- (360) 687-0755
- Fax
- (360) 666-8664
- NPI assigned
- Dec 1, 2009
- Last updated
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Lynn Watters
- Title
- President
- Phone
- (360) 687-0755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3123 | WA | Primary |
Addresses
Primary practice location
101 NW 12TH Ave
Suite 101
Battle Ground, WA 98604-9141
Mailing address
101 NW 12TH Ave
Suite 101
Battle Ground, WA 98604-9141
Phone (360) 687-0755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Battle Ground, WA
- NPI 1003497058
-
- Optometrist
- Battle Ground, WA
- NPI 1699706986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1912235078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NW 12TH AVE",
"address_2": "SUITE 101",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049141",
"telephone_number": "360-687-0755",
"fax_number": "360-666-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 12TH AVE",
"address_2": "SUITE 101",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049141",
"telephone_number": "360-687-0755",
"fax_number": "360-666-8664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATTERS VISION CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "WATTERS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-687-0755"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "3123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
- Walmart Inc. (Walmart Pharmacy 10-5929)
- Lynne M Walters, R.N.
- Washington Dental Corporation, PC (Battle Ground Smiles Dentistry)
- Water Lily Therapeutic Massage & Sauna LLC
- Amber Renay Watson, LMT
- Kevin Lynn Watters, OD
- Wave Anesthesia LLC
- Mark Callister Weed, D.O.
- Cheryl S Weiler, LMP
- Karrisa Jean Wessa, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.