Individual provider Active NPI

Olivia S. Walker, O.D.

  • Optometrist
  • Salem, IN
National Provider Identifier
1144759002
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004026A Issued in IN
Practice address
600 S Main St
Salem, IN 47167-1040
Phone
(812) 883-2700
Fax
(812) 883-2752
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004026A IN Primary

Addresses

Primary practice location

600 S Main St
Salem, IN 47167-1040

Mailing address

600 S Main St
Salem, IN 47167-1040
Phone (812) 883-2700

Other practice location 1

631 E Tipton St Ste 2
Seymour, IN 47274-3519
Phone (812) 522-4444

Other practice location 2

4326 Charlestown Rd # 2
New Albany, IN 47150-8542
Phone (812) 945-0023

Other identifiers 3

IdentifierTypeStateIssuer
300003562MedicaidIN
18004026AOtherININ LICENSE
22139003OtherININDIANA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170807001703 IN Practitioner - Optometry 3779854971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 S Main St
Vision First
Salem, IN 47167-1040
Phone (812) 883-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Jul 10, 2017 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

4326 Charlestown Rd
#2
New Albany, IN 47150
Phone (812) 945-0023

600 S Main St
Salem, IN 47167
Phone (812) 883-2700

279 N Gardner St
Ste 1
Scottsburg, IN 47170
Phone (812) 752-5106

279 N Gardner St
Ste 2
Scottsburg, IN 47170
Phone (812) 288-8566

631 E Tipton St
Ste 2
Seymour, IN 47274
Phone (812) 522-4444

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

Organizations & group practices 4

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144759002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671040",
            "telephone_number": "812-883-2700",
            "fax_number": "812-883-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671040",
            "telephone_number": "812-883-2700",
            "fax_number": "812-883-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 E Tipton St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472743519",
            "country_code": "US",
            "telephone_number": "812-522-4444",
            "fax_number": "812-522-2634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4326 Charlestown Rd # 2",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471508542",
            "country_code": "US",
            "telephone_number": "812-945-0023",
            "fax_number": "812-945-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "OLIVIA",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004026A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003562",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "18004026A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICARE",
            "identifier": "22139003",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.