Individual provider Active NPI

Patricia Estes Walker, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1386696201
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1775 Issued in TN
Practice address
1225 Madison Ave
Southern College of Optometry
Memphis, TN 38104-2211
Phone
(901) 722-3250
Fax
(901) 722-3347
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1775 TN Primary

Addresses

Primary practice location

1225 Madison Ave
Southern College of Optometry
Memphis, TN 38104-2211

Mailing address

1245 Madison Ave
Southern College of Optometry
Memphis, TN 38104-2211
Phone (901) 722-3250

Other identifiers 1

IdentifierTypeStateIssuer
1775OtherTNOD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060606000219 TN Practitioner - Optometry 7517978687 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern College of OptometryGroup PAC ID 4587550454, 57 clinicians
Dr. Richard C. Buck OD., PCGroup PAC ID 8921150566, 8 clinicians

Practice addresses (Care Compare)

1245 Madison Ave
Memphis, TN 38104-2211
Phone (901) 722-3385

2825 N Germantown Pkwy
Suite 103
Memphis, TN 38133-8199
Phone (901) 384-9259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1775TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern College of Optometry Optometrist CurrentSince Feb 18, 2009 Accepting new patients
Dr Richard C. Buck OD PC Optometrist CurrentSince May 30, 2023 Accepting new patients
Dr. Angela Milam & Associates, PLLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Corey Glenn Persons Optometrist PastSince Oct 1, 2021 Accepting new patients
Visionworks, Inc PastSince May 30, 2023 Accepting new patients

Locations

2100 Pleasant Plains Ext Rd
Ste C
Jackson, TN 38305
Phone (731) 664-6197

2021 N Highland Ave
Ste B6
Jackson, TN 38305
Phone (731) 664-6198

1225 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

2825 N Germantown Pkwy
Ste 103
Memphis, TN 38133
Phone (901) 381-1522

2760 N Germantown Pkwy
Ste 109
Memphis, TN 38133
Phone (901) 373-5530

1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670

7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551

Organizations & group practices 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386696201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "address_2": "SOUTHERN COLLEGE OF OPTOMETRY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3250",
            "fax_number": "901-722-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MADISON AVE",
            "address_2": "SOUTHERN COLLEGE OF OPTOMETRY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3250",
            "fax_number": "901-722-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PATRICIA",
        "middle_name": "ESTES",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD",
            "identifier": "1775",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.