MICHAEL WATTERS INC (NPI# 1265636922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265636922 |
| Entity Type | Organization |
| Organization Name | MICHAEL WATTERS INC |
| Practice Address |
2020 N Harrison Shawnee OK 74804 |
| Practice Telephone | 4052737075 |
| Practice Fax Number | 4052737405 |
| Mailing Telephone | 4052737075 |
| Mailing Fax Number | 4052737405 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MRS. LINDSEY HELEN YOUNG (BILLING CLERK) |
| Authorized Official Telephone | 4052737075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2408 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200046010A | 05 | |
| OK | MEDICARE GROUP NUMBER | 900522241 | 01 |
| Street Address |
2020 N HARRISON |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1043646532 | Seema Amin | Optometrist | 14519 W 60th Ter, Shawnee, KS 66216-1510 | 2013-09-17 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1881769008 | John D Kastl | Optometrist | 4901 N Kickapoo Ave, Suite#1606, Shawnee, OK 74804-1303 | 2006-11-22 |
| 1053494401 | Ryan Wineinger | Optometrist | 7505 Quivira Rd, Shawnee, KS 66216-3501 | 2006-10-21 |
| 1649373689 | Kirk F Hoster | Optometrist | 2109 N Kickapoo Ave, Shawnee, OK 74804-2732 | 2006-09-06 |
| 1881600062 | Andrew William Franken | Optometrist | 22407 W 66th St, Shawnee, KS 66226-3501 | 2006-07-31 |
| 1396751574 | Christopher William Arnold | Optometrist | 22414 W 66th St, Shawnee, KS 66226-3514 | 2006-07-31 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on MICHAEL WATTERS INC.
| 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.