Organization Active NPI

Dr. Timothy P. Walker, Optometrist, Inc.

  • Optometrist
  • Duncan, OK
National Provider Identifier
1356568000
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2086 Issued in OK
Legal business name
DR. TIMOTHY P. WALKER, OPTOMETRIST, INC.
Practice address
1601 W Jones Ave
Duncan, OK 73533-1731
Phone
(580) 255-7399
Fax
(580) 255-7879
NPI assigned
Apr 20, 2007
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Timothy P Walker, O.D.NPI 1275641359
Title
President
Phone
(580) 255-7399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110620000694 OK Part B Supplier - Clinic/Group Practice 6800916859 Receives reassigned benefits from 1 practitioner
Practice locations: Duncan, OK

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1356568000",
    "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": {
        "organization_name": "DR. TIMOTHY P. WALKER, OPTOMETRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-255-7399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.