# WATSON RETINA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Watson Retina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376170274
- **Authorized official:** RICHARD WATSON (MD)
- **Authorized official phone:** (205) 637-7123

## Contact information

- **Practice address:** 4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
- **Practice address phone:** (205) 637-7123
- **Mailing address:** 4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
- **Mailing address phone:** (205) 637-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2020
- **Last updated:** 04/11/2022