Organization Active NPI

Lisa Walker Optometrist Inc

  • Durable Medical Equipment & Medical Supplies
  • Elk City, OK
National Provider Identifier
1225254345
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2003 Issued in OK
Legal business name
LISA WALKER OPTOMETRIST INC
Practice address
106 N Main St
Elk City, OK 73644-4752
Phone
(580) 243-2020
Fax
(580) 243-2020
NPI assigned
Apr 17, 2007
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Lisa Ann Walker, O.D. OPTOMETRYNPI 1871559575
Title
Owner
Phone
(580) 243-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2003 OK Primary

Addresses

Primary practice location

106 N Main St
Elk City, OK 73644-4752

Mailing address

106 North Main Street
Elk City, OK 73644-4752
Phone (580) 243-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081120000084 OK Part B Supplier - Clinic/Group Practice 8022178060 Receives reassigned benefits from 1 practitioner
Practice locations: Elk City, OK
O20100930050429 OK DME Supplier - Physician - Optometrist 8022178060 Practice locations: Elk City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lisa Walker Optomtrists106 N Main St, Elk City, OK 73644-4752(580) 243-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Nov 20, 2008

National Provider Directory

National Provider Directory

Locations

106 N Main St
Elk City, OK 73644
Phone (580) 243-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1225254345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NORTH MAIN STREET",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444752",
            "telephone_number": "580-243-2020",
            "fax_number": "580-243-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444752",
            "telephone_number": "580-243-2020",
            "fax_number": "580-243-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WALKER OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-243-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D. OPTOMETRY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.