Christopher Thomas Walls, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

629 Issued in MS

Practice address

600 Old Hickory Rd
Grenada, MS 38901-2727

Phone

(662) 226-7010

Fax

(662) 226-7027

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Eyecare of Grenada PAGroup PAC ID 4981861366, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chris.walls@direct.revolutionehr.com

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.

• 20-20 Eyecare of Grenada PA

  • Optometrist
  • Grenada, MS
  • NPI 1497025183
  Medicare reassignment Care Compare group NPD Authorized official
• 20-20 Eyecare of Batesville LLC

  • Optometrist
  • Batesville, MS
  • NPI 1811689961
  Medicare reassignment NPD Authorized official
• 20 20 Eye Care Inc

  • Eyewear Supplier
  • Grenada, MS
  • NPI 1528242047
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1215951314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD HICKORY RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012727",
            "telephone_number": "662-226-7010",
            "fax_number": "662-226-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD HICKORY RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012727",
            "telephone_number": "662-226-7010",
            "fax_number": "662-226-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880101",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarence E Wade, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walls Vision Center LLC
• Ware Family Dental Clinic LLC
• Latonya Ware, D.D.S.
• Meghan Welch, PMHNP-BC
• Della Lea Welsh
• Lindsay E Westmoreland, PHARMD

• Optometrist in Grenada, MS
• Providers in Grenada, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.