Individual provider Active NPI

Timothy Paul Walker, O.D.

  • Optometrist
  • Duncan, OK
National Provider Identifier
1275641359
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2086 Issued in OK
Practice address
1601 W Jones Ave
Duncan, OK 73533-1731
Phone
(580) 255-7399
Fax
(580) 255-7879
NPI assigned
Aug 28, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2086 OK Primary

Addresses

Primary practice location

1601 W Jones Ave
Duncan, OK 73533-1731

Mailing address

1601 W Jones Ave
Duncan, OK 73533-1731
Phone (580) 255-7399

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000704 OK Practitioner - Optometry 5890802797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2533 W Elk Ave
Duncan, OK 73533-1578
Phone (580) 255-7399

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2086OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Timothy P. Walker, Optometrist, Inc. Optometrist CurrentSince Oct 7, 1996 Accepting new patients

Locations

1601 W Jones Ave
Duncan, OK 73533
Phone (580) 255-7399

2533 W Elk Ave
Duncan, OK 73533
Phone (580) 255-7399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1275641359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W JONES AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331731",
            "telephone_number": "580-255-7399",
            "fax_number": "580-255-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W JONES AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331731",
            "telephone_number": "580-255-7399",
            "fax_number": "580-255-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.