Sophia Walters, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

135 Willow LN
McDonough, GA 30253-6574

Phone

(678) 432-3093

NPI assigned

Nov 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1144044934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CORNUS DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166501",
            "telephone_number": "718-715-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WILLOW LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536574",
            "telephone_number": "678-432-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Wall
• Patricia Lynn Wallin
• Walnut Creek Family Practice, P.C.
• Zeke Orazi Walsh
• Abigail Lilla Walters
• Patricia A Waltower, RN MSHS
• Kibibi Wanzu
• Rebecca Ward
• Stephen L. Ware Jr.
• Warm Hearts Rides LLC

• Optician in McDonough, GA
• Providers in McDonough, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.