Individual provider Active NPI

Walter Miles Fierson, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Arcadia, CA
National Provider Identifier
1023109956
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
G29165 Issued in CA
Practice address
1245 W Huntington Drive
Suite 109
Arcadia, CA 91007
Phone
(626) 304-7081
Fax
(626) 304-1078
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G29165 CA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X G29165 CA Primary

Addresses

Primary practice location

1245 W Huntington Drive
Suite 109
Arcadia, CA 91007

Mailing address

1245 W Huntington Drive
Suite 109
Arcadia, CA 91007
Phone (626) 304-7081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29165CAMDPsychologist
G29165CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter M. Fierson, M.D.,P.C. Ophthalmology CurrentSince Jan 1, 1973 Accepting new patients

Locations

1245 W Huntington Dr
Ste 109
Arcadia, CA 91007
Phone (626) 304-7081

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1023109956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 W HUNTINGTON DRIVE",
            "address_2": "SUITE 109",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-304-7081",
            "fax_number": "626-304-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 W HUNTINGTON DRIVE",
            "address_2": "SUITE 109",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-304-7081",
            "fax_number": "626-304-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERSON",
        "first_name": "WALTER",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G29165",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CA",
            "license": "G29165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.