Michael P. Walker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000830 Issued in PA

Practice address

1039 Park Ave
Meadville, PA 16335-4324

Phone

(814) 724-2020

Fax

(814) 337-1150

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Goss Eye Care, LLC

  dba Crawford Eye Associates

  • Eyewear Supplier
  • Meadville, PA
  • NPI 1962915140
  Medicare reassignment NPD
• Michael P. Walker, O.D.

  • Eyewear Supplier
  • Meadville, PA
  • NPI 1790961217
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033290895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354324",
            "telephone_number": "814-724-2020",
            "fax_number": "814-337-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354324",
            "telephone_number": "814-724-2020",
            "fax_number": "814-337-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000830",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA PROVIDER NUMBER",
            "identifier": "391901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "OEG000830",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA PROVIDER NUMBER",
            "identifier": "PA830",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER",
            "identifier": "NC1574",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC NUMBER",
            "identifier": "205057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1656)
• Wal-Mart Stores East, LP (Vision Center 30-1656)
• Walgreen Co. (Walgreens #10837)
• Jameson Paul Walker, DC
• Jennifer R Walker, LPC
• Rita D Walker, RPH
• Haibin Wang, MD, PHD
• Tiffany T Warner, PT
• Katie M. Warren, D.O.
• Barry Warshaw, DO

• Optometrist in Meadville, PA
• Providers in Meadville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.