MR. BLAINE KENNETH WATKINS (NPI# 1962784975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962784975 |
| Entity Type | Individual |
| Full Name | MR. BLAINE KENNETH WATKINS |
| Credential | O.D. |
| Practice Address |
1155 S Power Rd Suite 102 Mesa AZ 85206-3715 |
| Practice Telephone | 2103198099 |
| Mailing Telephone | 2103198099 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2060 | AZ | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1155 S POWER RD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1275001927 | Arizona Vision of Mesa | Optometrist | 1425 S Alma School Rd Ste 103, Mesa, AZ 85210-2000 | 2018-11-09 |
| 1538681762 | Kelsey Lynn Roumfort | Optometrist | 1303 S Longmore Ste 2, Mesa, AZ 85202-9607 | 2017-07-10 |
| 1629520663 | Tom Sowash Od & Associates, PC | Optometrist | 1826 S Signal Butte Rd, Suite 101, Mesa, AZ 85209-2730 | 2016-10-25 |
| 1235594391 | Trusight Optometry, LLC | Optometrist | 6525 E Southern Ave, Mesa, AZ 85206-3711 | 2015-12-16 |
| 1720419534 | Todd Christian Brown | Optometrist | 8435 E Baseline Rd Bldg C, Mesa, AZ 85209-4379 | 2013-12-03 |
| 1154692226 | Mesa Vision Partners,pllc | Optometrist | 937 N Dobson Rd, Ste 102, Mesa, AZ 85201-7588 | 2012-01-22 |
| 1649553355 | Elena Filatova | Optometrist | 1423 S Higley Rd Ste 104, Mesa, AZ 85206-3449 | 2011-09-20 |
| 1083995708 | Jeffrey J.eger,od PC. | Optometrist | 1106 W University Dr, #1, Mesa, AZ 85201-5532 | 2011-09-08 |
| Find all providers in MESA | ||||
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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.