Mary Colleen Walters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

03858T Issued in TX

Practice address

3200 N Macarthur Blvd
Ste 200
Irving, TX 75062-4453

Phone

(972) 258-7979

Fax

(972) 570-5502

NPI assigned

Jul 12, 2006

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

Other names 1

• M. Colleen Walters Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric Eyecare of North Texas PLLCGroup PAC ID 1052754553, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Eyecare of North Texas, PLLC

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1629759089

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1194750406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N MACARTHUR BLVD",
            "address_2": "STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624453",
            "telephone_number": "972-258-7979",
            "fax_number": "972-570-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N MACARTHUR BLVD",
            "address_2": "STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624453",
            "telephone_number": "972-258-7979",
            "fax_number": "972-570-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARY",
        "middle_name": "COLLEEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03858T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "WALTERS",
            "middle_name": "COLLEEN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Waller Chiropractic, Inc.
• Stephen B Waller, D.C.
• Carley Waltenburg, M.S., BCBA
• Carla G Walters, MS, RD, LD, CDE
• Danielle Walters, M.S., BCBA
• William Walters
• Giorgio J Walton
• Cameron Wampler, P.A.
• Jeffrey Wang, DO
• Mary C Ward, D.O.

• Optometrist in Irving, TX
• Providers in Irving, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.

Verify at the official NPI Registry.