Jay Wallace Walker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2487ATI Issued in OR

Practice address

502 E Main Street
Molalla, OR 97038

Phone

(503) 829-9186

Fax

(503) 829-8402

NPI assigned

Sep 1, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Molalla Vision Clinic PCGroup PAC ID 9335298504, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Molalla Vision Clinic PC

  • Optometrist
  • Molalla, OR
  • NPI 1497931018
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Clinic of Milwaukie, P.C.

  • Optometrist
  • Milwaukie, OR
  • NPI 1083805774
  NPD (past)
• Methodist Medical Center of Illinois

  dba Methodist Medical Group

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1184670663
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1235231275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "97038",
            "telephone_number": "503-829-9186",
            "fax_number": "503-829-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E MAIN STREET",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "97038",
            "telephone_number": "503-829-9186",
            "fax_number": "503-829-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAY",
        "middle_name": "WALLACE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2487ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260661",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Rose Thurman, FNP
• Heather Mary Tonga, PAC
• Transcend Health Services LLC
• Valley Chiropractic Care LLC
• Valley Chiropractic LLC
• Geoffrey Hsi-Wen Wang, DDS
• April V Wassom, PA-C
• Waterfall Counseling, LLC
• Amelie M Wegner, MD
• Austin Edward Weichlein, DMD

• Optometrist in Molalla, OR
• Providers in Molalla, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.