WATERTOWN VISION, LLC
NPI 1780935957
Optometrist in Watertown, WI

Active since September 27, 2012
1640 S CHURCH ST, WATERTOWN, WI 53094(920) 390-2971(920) 390-2974 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Watertown Vision, Llc NPPES

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

WATERTOWN VISION, LLC (NPI 1780935957) is a healthcare organization registered as an optometrist in Watertown, Wisconsin and active in the NPI registry since September 2012. The organization lists Jason Procto, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1780935957
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWATERTOWN VISION, LLC
Location Address1640 S CHURCH STWatertown, WI 53094-6406
Mailing Address1640 S Church StWatertown, WI 53094-6406 · (920) 390-2971 · Fax (920) 390-2974
Fax(920) 390-2974
Organization SubpartNo
Authorized OfficialJason ProctoOwner/operator · (414) 810-8003
Enumeration DateSeptember 27, 2012
✔ NPI 1780935957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1640 S CHURCH ST, Watertown, WI 53094

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Watertown Vision, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Watertown Vision, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1245568682
1640 S CHURCH ST
Watertown, WI 53094
(920) 390-2971
✔ PECOS0.6 mi
Optometry
NPI 1962453589
105 E WISCONSIN AVE #206
Oconomowoc, WI 53066
(262) 354-8179
✔ PECOS13 mi
Optometry
NPI 1487726535
1674 OLD SCHOOLHOUSE RD STE 101
Oconomowoc, WI 53066
(262) 354-0410
✔ PECOS15 mi
Optometry
NPI 1831931914
1674 OLD SCHOOLHOUSE RD STE 101
Oconomowoc, WI 53066
(262) 567-2295
✔ PECOS15 mi
Optometry
NPI 1407204506
1111 DELAFIELD ST STE 212
Waukesha, WI 53188
(262) 547-7002
✔ PECOS✔ Accepts Medicare27 mi

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

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 Watertown Vision, LLC's NPI number?

The NPI number for Watertown Vision, LLC is 1780935957. It was assigned to this organization in the NPPES registry on September 27, 2012.

Where is Watertown Vision, LLC located?

Watertown Vision, LLC is located at 1640 S Church St, Watertown, WI 53094. The listed phone number is (920) 390-2971.

What is Watertown Vision, LLC's specialty?

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

Is Watertown Vision, LLC enrolled in Medicare?

Yes. Watertown Vision, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watertown Vision, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Watertown Vision, LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Watertown Vision, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Watertown Vision, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Watertown Vision, LLC was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.