Andover Optometry on Central LLC
NPI 1417204033ActiveOrganization· Optometrist· Andover, MA
Optometrist in Andover, Massachusetts, registered in NPPES in August 2012. The authorized official on file is Ronald Watanabe, OD, Owner.
Overview
| NPI | 1417204033 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2012 |
| Last updated in NPPES | Oct 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | MA3763 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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