Individual provider Active NPI

Kristina Freeman Walts, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1386774800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 001212 Issued in GA
Practice address
35 Wieuca Trce NE
Atlanta, GA 30342-3856
Phone
(404) 252-6250
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 001212 GA Primary

Addresses

Primary practice location

35 Wieuca Trce NE
Atlanta, GA 30342-3856

Mailing address

35 Wieuca Trce NE
Atlanta, GA 30342-3856
Phone (404) 252-6250

Other identifiers 1

IdentifierTypeStateIssuer
GA2212OtherGAEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230131002977 GA Practitioner - Optometry 5799156618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare PCGroup PAC ID 5294723227, 3 clinicians

Practice addresses (Care Compare)

5380 Roswell Rd
Atlanta, GA 30342-1916
Phone (404) 250-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 001212GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Albert E Barker & Associates Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386774800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WIEUCA TRCE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423856",
            "telephone_number": "404-252-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WIEUCA TRCE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423856",
            "telephone_number": "404-252-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTS",
        "first_name": "KRISTINA",
        "middle_name": "FREEMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 001212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "GA2212",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.