Individual provider Active NPI

Brook Edward Walker, O.D.

  • Optometrist
  • Ferndale, WA
National Provider Identifier
1356442917
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4007 Issued in WA
Practice address
1815 Main St
Ferndale, WA 98248-9454
Phone
(360) 393-4000
Fax
(360) 393-4004
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4007 WA Primary

Addresses

Primary practice location

1815 Main St
Ferndale, WA 98248-9454

Mailing address

1815 Main St
Ferndale, WA 98248-9454
Phone (360) 393-4000

Other identifiers 2

IdentifierTypeStateIssuer
2006335MedicaidWA
2006626MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090701000521 WA Practitioner - Optometry 7911058037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Plus Inside Ferndale HaggenGroup PAC ID 3779648480, 5 clinicians
Vision Plus in LyndenGroup PAC ID 7315110483, 5 clinicians

Practice addresses (Care Compare)

1815 Main St
Ferndale, WA 98248-9454
Phone (360) 393-4000

1824 Front St
Suite B
Lynden, WA 98264-1729
Phone (360) 933-1815

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4007WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus in Lynden Optometrist CurrentSince Sep 1, 2011 Accepting new patients
Vision Plus Inside Ferndale Haggen Optometrist CurrentSince Jun 1, 2009 Accepting new patients
Eyeco Optometry PS Optometrist PastSince Jan 9, 2012 Accepting new patients
Vision Plus Inside Snohomish Top Foods PS Optometrist Past Accepting new patients

Locations

4110 Meridian St
Bellingham, WA 98226
Phone (360) 746-8549

1815 Main St
#101
Ferndale, WA 98248
Phone (360) 746-8890

1815 Main St
Ferndale, WA 98248
Phone (360) 380-7210

115 7th St
Lynden, WA 98264
Phone (360) 354-5341

1824 Front St
Ste B
Lynden, WA 98264
Phone (360) 933-1815

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1356442917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 MAIN ST",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489454",
            "telephone_number": "360-393-4000",
            "fax_number": "360-393-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MAIN ST",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489454",
            "telephone_number": "360-393-4000",
            "fax_number": "360-393-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BROOK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006335",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006626",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

Verify at the official NPI Registry.