Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Blaine Kenneth Watkins, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962784975

Mr. Blaine Kenneth Watkins, OD is an Optometry in Mesa, Arizona. Graduated from Illinois College of Optometry at Chicago in 2015, 11 years ago. Practices with San Tan Eyecare PLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
Illinois College of Optometry at Chicago
Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Mesa, AZ

No coordinates on file. Search this address in Google Maps

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2060 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962784975
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESJuly 15, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2015 (11 years in practice)
Group practice San Tan Eyecare Plc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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