Individual provider Active NPI

Kimberly J Walker, O.D.

  • Optometrist
  • Topeka, KS
National Provider Identifier
1255469748
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1388 Issued in KS
Practice address
2800 SW Wanamaker Rd
Topeka, KS 66614-4293
Phone
(785) 272-0707
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002411 IA
Optometrist 152W00000X 4725TG TX
Optometrist 152W00000X 1388 KS Primary

Addresses

Primary practice location

2800 SW Wanamaker Rd
Topeka, KS 66614-4293

Mailing address

720 Brierwood Dr
Manhattan, KS 66502-3130
Phone (515) 509-3308

Other identifiers 2

IdentifierTypeStateIssuer
2813709931OtherTXVSP
118362OtherTXEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20170221001021 KS Practitioner - Optometry 1850464793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Price Young Odle and Horsch PA 28 clinicians

Practice addresses (Care Compare)

313 W Main St
Council Grove, KS 66846-1706
Phone (620) 412-4150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002411IAMDOptometrist
4725TGTXMDOptometrist
1388KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Aug 5, 2018 Accepting new patients

Locations

313 W Main St
Council Grove, KS 66846
Phone (620) 412-4150

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

2800 SW Wanamaker Rd
Ste 192
Topeka, KS 66614
Phone (785) 272-0707

2800 SW Wanamaker Rd
Topeka, KS 66614
Phone (785) 272-0707

Interoperability endpoints

  • Direct secure messaging: kimberlywalker@direct.eyecare-partners.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1255469748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BRIERWOOD DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023130",
            "telephone_number": "515-509-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144293",
            "telephone_number": "785-272-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002411",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4725TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "2813709931",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "118362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.