NPIMap

Organization Active NPI

Walsh Optometry, P.a.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1043407927
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1630 Issued in NC
Legal business name
WALSH OPTOMETRY, P.A.
Practice address
7330 Old Wake Forest Rd.
Raleigh, NC 27616-3047
Phone
(919) 792-2999
Fax
(919) 554-1406
NPI assigned
Sep 25, 2007
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Eileen Marie Walsh, O.D.NPI 1598731341
Title
Optometrist/President
Phone
(919) 844-0938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1630 NC Primary

Addresses

Primary practice location

7330 Old Wake Forest Rd.
Raleigh, NC 27616-3047

Mailing address

P.O. Box 80214
Raleigh, NC 27623-0214
Phone (919) 792-2999

Other identifiers 3

IdentifierTypeStateIssuer
890900FMedicaidNC
0900FOtherNCBCBS
19072OtherNCEYEMED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1043407927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 80214",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276230214",
            "telephone_number": "919-792-2999",
            "fax_number": "919-554-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 OLD WAKE FOREST RD.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163047",
            "telephone_number": "919-792-2999",
            "fax_number": "919-554-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "919-844-0938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890900F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0900F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "19072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.