Ronald M Watson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA5791 Issued in CA

Practice address

3653 Avocado Blvd
La Mesa, CA 91941-7337

Phone

(619) 660-6000

Fax

(619) 660-6002

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald M Watson, OD, Inc

  • Optometrist
  • La Mesa, CA
  • NPI 1033278189
  NPD (past) Authorized official
• Ronald M Watson, OD, Inc

  • Optometrist
  • National City, CA
  • NPI 1922155902
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932279379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 ANOEL CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773101",
            "telephone_number": "619-466-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 AVOCADO BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417337",
            "telephone_number": "619-660-6000",
            "fax_number": "619-660-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA5791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP ID NUMBER",
            "identifier": "330894018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "03516",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION",
            "identifier": "CA5791",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION PLAN AMERICA",
            "identifier": "0937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "CA95791",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "17407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Wardhaugh
• Lindsay Marie Warner
• Jeffrey Phillip Wasserstrom, M.D.
• Carol L Watkins, MS, LMFT
• Rebecca Watson, BSW
• Sandra Sue Watt, L.AC.
• Shaney Alynne Watters, MFT
• Plummer Leon Wax Jr., PA-C
• Marinel Weaver, LCSW
• John Raby Webb, M.D.

• Optometrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.