Marshall Walker, O.D.
Individual provider Active NPI Optometrist · Perkins, OK
NPI 1033554118 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1033554118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2799 (OK)
- Practice address
- 509 E Highway 33
Perkins, OK 74059-4129 - Phone
- (405) 547-2473
- Fax
- (405) 547-2925
- NPI assigned
- May 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
617 S Main St
Stillwater, OK 74074-4060
Phone (918) 978-2551
Merit-based Incentive Payment System (MIPS)
- Final score
- 15 of 100
- Quality
- 30
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141229001826 | OK | Practitioner - Optometry | 6103149083 | Reassigns benefits to 3 organizations |
| I20150106000838 | TX | Practitioner - Optometry | 6103149083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2799 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current |
Accepting new patients | |
| Eyelove Vision | Optometrist | Current |
Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Northeastern State University College of Optometry | Optometrist | Current |
Accepting new patients |
| Advanced Eyecare Solutions PLLC | Optometrist | Current |
Accepting new patients |
Locations
501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
707 S Western Rd
Stillwater, OK 74074
Phone (405) 743-1134
617 S Main St
Stillwater, OK 74074
Phone (405) 372-7337
870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000
1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 2799 | OK | Yes |
Addresses
Primary practice location
509 E Highway 33
Perkins, OK 74059-4129
Mailing address
509 E Highway 33
Perkins, OK 74059-4129
Phone (405) 547-2473
Other providers in Perkins, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.