Provider Demographics
NPI:1083699748
Name:WATSON, ROBIN KAYE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KAYE
Last Name:WATSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:1700 S MO PAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2769TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89M678OtherBLUE CROSS BLUE SHIELD
TX116222402Medicaid
TX911392OtherBLOCK VISION
T16499Medicare UPIN
TX116222401Medicaid
TX5215421OtherAETNA
TX88Y394Medicare PIN
32951-014OtherDAVIS VISION
TX2769OtherEYEMED
TX89M678Medicare PIN
SC410036549Medicare PIN
SC410038766Medicare PIN
TX8116499OtherBLUELINK
TX10013120OtherAMERIGROUP
VP11750OtherGE WELLNESS
146575100OtherFIRST CARE
32787-014OtherDAVIS VISION