Provider Demographics
NPI:1952426280
Name:WATTS EYE ASSOCIATES LLC
Entity Type:Organization
Organization Name:WATTS EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-462-4623
Mailing Address - Street 1:33 LOW ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4048
Mailing Address - Country:US
Mailing Address - Phone:978-462-2020
Mailing Address - Fax:978-462-4263
Practice Address - Street 1:33 LOW ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4048
Practice Address - Country:US
Practice Address - Phone:978-462-4263
Practice Address - Fax:978-462-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4703700001Medicare NSC