Active NPI
Jessica S Walter, OD
- Optometrist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5381
- Practice address
- 10 Lincoln SQ
Worcester, MA 01608-1135 - Phone
- (508) 373-5830
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Paintsville, KY
- NPI 1326729773
-
- Federally Qualified Health Center (FQHC)
- Pikeville, KY
- NPI 1700828597
-
- Ophthalmology Physician
- Big Rapids, MI
- NPI 1477574101
-
- Optometrist
- Leominster, MA
- NPI 1891342457
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- McPhs University
Practice addresses (Care Compare)
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, KY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180808002983 | MI | Practitioner - Optometry | 2163770009 | Reassigns benefits to 1 organization |
| I20201104000430 | KY | Practitioner - Optometry | 2163770009 | Reassigns benefits to 1 organization |
| I20230907002970 | MA | Practitioner - Optometry | 2163770009 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2206DT | KY | MD | Optometrist |
| 4901005145 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPhs University | Optometrist | Current | Accepting new patients |
| Big Sandy Health Care, Inc | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Big Sandy Health Care Inc | Current | Accepting new patients | |
| Ferris State University | Current | Accepting new patients | |
| Ferris State University | Optometrist | Current | Accepting new patients |
| Leominster Family Eyecare PLLC | Optometrist | Past | Accepting new patients |
Locations
178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135
147 Sycamore St
#858
Pikeville, KY 41501
147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250
1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546
10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607
10 Lincoln Sq
Rm 112G
Worcester, MA 01608
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5381 | MA | Primary |
| Optometrist | 152W00000X | 2206DT | KY | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2206DT | KY | |
| Optometrist | 152W00000X | 4901005145 | MI |
Addresses
NPPES NPI RegistryPrimary practice location
10 Lincoln SQ
Worcester, MA 01608-1135
Mailing address
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2026.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1114404456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081135",
"telephone_number": "508-373-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINCOLN SQ",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081135",
"telephone_number": "508-373-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "JESSICA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5381",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2206DT",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "KY",
"license": "2206DT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.