Proeye, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2588 Issued in CT

Legal business name

PROEYE, INC.

Doing business as

ProEye Associates

Practice address

180 River Rd
Lisbon, CT 06351-3249

Phone

(860) 215-4009

Fax

(518) 217-6004

NPI assigned

Feb 5, 2007

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith E Watson, ODNPI 1194795948

Title

President / Owner

Phone

(518) 217-6008

Specialties & licenses 7

Addresses

Other names 1

• ProEye Associates Doing business as

Locations

Practitioners 2

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.

• Keith Watson

  • Optometrist
  • Albany, NY
  • NPI 1194795948
  Authorized official Same address or phone
• Adam D Ham, O.D.

  • Optometrist
  • Manchester, CT
  • NPI 1669781019
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1922147453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 AVALON PINES DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117275151",
            "telephone_number": "202-909-6805",
            "fax_number": "518-217-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RIVER RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513249",
            "telephone_number": "860-215-4009",
            "fax_number": "518-217-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEYE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "518-217-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2588",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "2588",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "2588",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "2588",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CT",
            "license": "2588",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "2588",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "CT",
            "license": "2588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProEye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProEye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Lisbon, CT
• Providers in Lisbon, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.