Walter James Peters Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20269 Issued in OK

Practice address

7171 S Yale Ave Ste 101
Tulsa, OK 74136-6367

Phone

(918) 307-0496

Fax

(918) 461-1609

NPI assigned

Jul 17, 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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Oklahoma College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Institute IncGroup PAC ID 7911995337, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wpeters@teiok.intellechartdirect.net
• Direct secure messaging: wjp@eyeinstitute.ecldirect.net

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.

• The Eye Institute Inc

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1982638516
  Medicare reassignment Care Compare group NPD
• Marc a Goldberg MD PC

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1174836241
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1245258789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045642",
            "telephone_number": "918-747-3937",
            "fax_number": "918-748-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-307-0496",
            "fax_number": "918-461-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WALTER",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "20269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10045980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Peters
• Precious Peters
• Shannen Michon Peters
• Sherelle Mignon Peters
• Victoria Lee Peters, LPC
• Elizabeth Ann Petersen
• Madison Paige Petersen, BSW
• Wallis Petersen
• Peterson Chiropractic
• Alison Cornelius Peterson, LPC-C

• Ophthalmology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.