Individual provider Active NPI

Hedy G Walker, OD

  • Optometrist
  • Gulfport, MS
National Provider Identifier
1083660757
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
646 Issued in MS
Practice address
11240 Highway 49
Ste 300
Gulfport, MS 39503-4151
Phone
(228) 328-0972
Fax
(228) 328-0975
NPI assigned
May 25, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 646 MS Primary

Addresses

Primary practice location

11240 Highway 49
Ste 300
Gulfport, MS 39503-4151

Mailing address

11240 Highway 49
Ste 300
Gulfport, MS 39503-4151
Phone (228) 328-0972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20050929000958 MS Practitioner - Optometry 0042245813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefield Eye Care, PCGroup PAC ID 0143258368, 3 clinicians

Practice addresses (Care Compare)

14225 Dedeaux Rd
Gulfport, MS 39503-3369
Phone (228) 328-0972

Merit-based Incentive Payment System (MIPS)

Final score
92.28 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
646MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefield Eye Care, PC CurrentSince Oct 1, 2001 Accepting new patients

Locations

11240 Highway 49
Ste 300
Gulfport, MS 39503
Phone (228) 328-0972

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1083660757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49",
            "address_2": "STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-328-0972",
            "fax_number": "228-328-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49",
            "address_2": "STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-328-0972",
            "fax_number": "228-328-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HEDY",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.