James Patrick Walsh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008528 Issued in IL

Practice address

2300 W White Oaks Dr
Sam'S Club Optical
Springfield, IL 62704-6423

Phone

(217) 698-7662

Fax

(217) 698-7875

NPI assigned

Aug 9, 2006

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1144230210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CHECKERBERRY LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117203",
            "telephone_number": "217-698-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W WHITE OAKS DR",
            "address_2": "SAM'S CLUB OPTICAL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046423",
            "telephone_number": "217-698-7662",
            "fax_number": "217-698-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L Walls, P.A.-C.
• Lamar Walls
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Jennifer L Walston, AGACNP-BC
• Cody Allen Walter, DO, MPH, MSA
• Jenna Walters, OTR/L
• Kaitlyn M Walters, MSN, WHNP-BC
• Walton Clinic of Chiropractic Inc

• Optometrist in Springfield, IL
• Providers in Springfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.