DR. KEITH E WATSON (NPI# 1194795948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194795948 |
| Entity Type | Individual |
| Full Name | DR. KEITH E WATSON |
| Credential | O.D. |
| Practice Address |
1135 Hartford Tpke Vernon CT 06066-4517 |
| Practice Telephone | 8608723348 |
| Practice Fax Number | 8608723643 |
| Mailing Telephone | 8608723348 |
| Mailing Fax Number | 8608723643 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2588 | CT | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2588 | CT | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
2588 | CT | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
2588 | CT | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2588 | CT | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
2588 | CT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386623817 | Keith A Watson | Obstetrics & Gynecology | 100 Kahoe Ln, Yellow Springs, OH 45387-1243 | 2006-01-12 |
| 1093168692 | Keith Watson | Counselor | 721 N Lasalle St, Chicago, IL 60654 | 2016-07-19 |
| 1639290067 | Keith Brian Watson | Dentist | 3935 Dupont Cir, Louisville, KY 40207-4824 | 2007-04-03 |
| 1417981580 | Keith C. Watson | Orthopaedic Surgery | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2006-07-11 |
| 1972540557 | Keith Watson | Specialist | 5651 Frist Blvd, Suite 701, Hermitage, TN 37076 | 2006-06-01 |
| 1205816253 | Keith Edward Watson | Dentist | 4511 Se Hawthorne Blvd, Ste 205, Portland, OR 97215-3170 | 2006-01-17 |
| Street Address |
1135 HARTFORD TPKE |
| City | VERNON |
| State | CT |
| Zip Code | 06066-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1912430745 | Alisha Martin | Optometrist | 400 Talcottville Rd, Vernon, CT 06066-7032 | 2017-04-08 |
| 1235582370 | Hayley Eye Clinic PC | Optometrist | 1918 Pease St, Vernon, TX 76384-4608 | 2016-07-13 |
| 1073652558 | Richard Russell Rock | Optometrist | 348 Hartford Tpke, Vernon, CT 06066-4747 | 2007-02-05 |
| 1174602114 | Neil L. Malkin | Optometrist | 375 Hartford Tpke, Vernon, CT 06066-4820 | 2006-11-02 |
| 1528153202 | Todd Ripley Smith | Optometrist | 2030 Texas St, Vernon, TX 76384-4450 | 2006-10-04 |
| 1306856323 | Advanced Vision Care Inc | Optometrist | 287 Route 94, Pmb 314, Vernon, NJ 07462-0008 | 2006-08-09 |
| 1992267017 | Kelsey Rae Crawford | Optometrist | 1730 Houston St, Vernon, TX 76384-7715 | 2019-04-05 |
| 1558713859 | Kelly Family Eyecare, LLC | Optometrist | 458 Talcottville Rd, Suite 1, Vernon, CT 06066-4052 | 2016-07-11 |
| 1669823910 | Abby Kelly | Optometrist | 458 Talcottville Rd, Vernon, CT 06066-4052 | 2016-06-28 |
| Find all providers in VERNON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.