1. Home
  2. Directory
  3. Washington
  4. Battle Ground
  5. Optometrist
  6. NPI Profile

WATTERS VISION CARE INC
NPI 1912235078
Optometrist in Battle Ground, WA

Active since December 01, 2009
101 NW 12TH AVE, SUITE 101, BATTLE GROUND, WA 98604(360) 687-0755(360) 666-8664 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Watters Vision Care Inc NPPES

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

WATTERS VISION CARE INC (NPI 1912235078) is a healthcare organization registered as an optometrist in Battle Ground, Washington and active in the NPI registry since December 2009. The organization lists Kevin Lynn Watters, President, as its authorized official.

NPPES Registry Identity

NPI1912235078
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWATTERS VISION CARE INC
Location Address101 NW 12TH AVE, SUITE 101Battle Ground, WA 98604-9141
Mailing Address101 Nw 12th Ave, Suite 101Battle Ground, WA 98604-9141 · (360) 687-0755 · Fax (360) 666-8664
Phone(360) 687-0755
Fax(360) 666-8664
Organization SubpartNo
Authorized OfficialKevin Lynn WattersPresident · (360) 687-0755
Enumeration DateDecember 1, 2009
Last NPPES UpdateJune 7, 2010
✔ NPI 1912235078 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 WA · 3123
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.
101 NW 12TH AVE, Battle Ground, WA 98604
Open in Google Maps ↗

Other Identifiers 1

Medicare PING8889829WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Watters Vision Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Derik Hardesty, OD
Optometry
NPI 1003497058
101 NW 12TH AVE STE 101
Battle Ground, WA 98604
(360) 687-0755
✔ PECOS✔ Accepts MedicareSame address
Josue Gonzalez Pena, OD
Optometry
NPI 1588231211
707 4TH ST # A
Santa Rosa, CA 95404
(707) 542-3404
✔ PECOS507 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 Watters Vision Care Inc's NPI number?

The NPI number for Watters Vision Care Inc is 1912235078. It was assigned to this organization in the NPPES registry on December 1, 2009.

Where is Watters Vision Care Inc located?

Watters Vision Care Inc is located at 101 NW 12th Ave Suite 101, Battle Ground, WA 98604. The listed phone number is (360) 687-0755.

What is Watters Vision Care Inc's specialty?

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

Is Watters Vision Care Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Watters Vision Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Watters Vision Care 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Watters Vision Care Inc accept?

Health plans from BlueCross BlueShield of Tennessee list Watters Vision Care Inc 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 Watters Vision Care Inc was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.