Active NPI
Ashley Walkoviak, O.D.
- Optometrist
- Rogers, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3441
- Practice address
- 21615 S Diamond Lake Rd
Rogers, MN 55374-8893 - Phone
- (763) 428-9014
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | ||
| Optometrist | 152W00000X | 3441 | MN | Primary |
Addresses
Primary practice location
21615 S Diamond Lake Rd
Rogers, MN 55374-8893
Mailing address
21615 S Diamond Lake Rd
Rogers, MN 55374-8893
Phone (763) 428-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 18TH Ave NW
Suite D
Austin, MN 55912-1993
Phone (507) 437-8228
205 16TH St NE
Suite D
Little Falls, MN 56345-4609
Phone (320) 632-9201
318 Jefferson St S
Suite 1
Wadena, MN 56482-1556
Phone (218) 631-3300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Midwest Vision Centers Inc | Past | Accepting new patients | |
| Midwest Vision Centers Inc | Past | Accepting new patients |
Locations
1004 18th Ave NW
Ste D
Austin, MN 55912
Phone (507) 437-8228
501 Highway 10 S
Saint Cloud, MN 56304
Phone (320) 253-4695
Organizations & group practices 5
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.
-
- Optician
- Virginia, MN
- NPI 1336352475
-
- Optician
- Wadena, MN
- NPI 1689747230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433894400000",
"number": "1043699317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21615 S DIAMOND LAKE RD",
"city": "ROGERS",
"state": "MN",
"postal_code": "553748893",
"telephone_number": "763-428-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21615 S DIAMOND LAKE RD",
"city": "ROGERS",
"state": "MN",
"postal_code": "553748893",
"telephone_number": "763-428-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKOVIAK",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2015-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.