DR. DOUGLAS R WATSON (OD) – Optometrist, NPI 1760471908

DR. DOUGLAS R WATSON (OD) is a healthcare provider. based in Pontiac, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046007842 (IL). The NPI Number for DR. DOUGLAS R WATSON (OD) is 1760471908

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS R WATSON (OD)
NPI
1760471908
Phone
(815) 844-2015
Address
301 W MADISON ST
Enumeration Date
20 October 2005
Last Update Date
20 October 2009

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
7517072101
Professional Enrollment ID
I20110118000781
Address ID
IL617641705Po301XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. DOUGLAS R WATSON (OD)

  • 301, West Madison Street, Pontiac, Pontiac Township, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617641705

    Phone: (815) 844-2015

    Fax: (815) 844-4918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110118000781IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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Reviews

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Frequently asked questions

How is DR. DOUGLAS R WATSON (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. DOUGLAS R WATSON (OD) with NPI 1760471908.
Does CMS list DR. DOUGLAS R WATSON (OD) as active?
Yes — DR. DOUGLAS R WATSON (OD) is active in the NPI listing used on this page.
What is DR. DOUGLAS R WATSON (OD)'s specialty?
The listing groups DR. DOUGLAS R WATSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DOUGLAS R WATSON (OD)?
DR. DOUGLAS R WATSON (OD)'s geographic hint is Pontiac, Illinois in our summary view.
Why does DR. DOUGLAS R WATSON (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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