1. Home
  2. Directory
  3. Oklahoma
  4. Shawnee
  5. Optometrist
  6. NPI Profile

MICHAEL WATTERS INC
NPI 1265636922
Optometrist in Shawnee, OK

Active since June 14, 2007
2020 N HARRISON, SHAWNEE, OK 74804(405) 273-7075(405) 273-7405 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Watters Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WATTERS INC (NPI 1265636922) is a healthcare organization registered as an optometrist in Shawnee, Oklahoma and active in the NPI registry since June 2007. The organization lists Lindsey Helen Young, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1265636922
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICHAEL WATTERS INC
Location Address2020 N HARRISONShawnee, OK 74804
Mailing Address2020 N HarrisonShawnee, OK 74804 · (405) 273-7075 · Fax (405) 273-7405
Phone(405) 273-7075
Fax(405) 273-7405
Organization SubpartNo
Authorized OfficialLindsey Helen YoungBilling Clerk · (405) 273-7075
Enumeration DateJune 14, 2007
Last NPPES UpdateJune 26, 2008
✔ NPI 1265636922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 2408
Definition
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.
2020 N HARRISON, Shawnee, OK 74804
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC5320170001OK
Medicare UPINU97199OK
Other900522241OK · Medicare Group Number
Medicaid200046010AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Watters Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael Watters Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Watters, OD
Optometry
NPI 1164586699
2020 N HARRISON
Shawnee, OK 74804
(405) 273-7075
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Michael Watters Inc carries, from the Medicare DMEPOS supplier directory.

Michael Watters Inc

DMEPOS supplier · Shawnee, OK
✔

Accepts Medicare assignment

Michael Watters Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20581589
Medicare Participant SinceMarch 1, 2005
Supplier Location2020 N Harrison StShawnee, OK 74804
Phone(405) 273-7075
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Watters Inc's NPI number?

The NPI number for Michael Watters Inc is 1265636922. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Michael Watters Inc located?

Michael Watters Inc is located at 2020 N Harrison, Shawnee, OK 74804. The listed phone number is (405) 273-7075.

What is Michael Watters Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Watters Inc enrolled in Medicare?

Yes. Michael Watters Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael Watters Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Michael Watters Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michael Watters Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Michael Watters Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Michael Watters Inc was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.