NPIMap

Organization Active NPI

Walz Vision PA

Doing business as Bay Area Vision & contact lens center

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1417069196
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX4039TG Issued in TX
Legal business name
WALZ VISION PA
Doing business as
Bay Area Vision & contact lens center
Practice address
5425 S Padre Island Dr
Suite 119-B
Corpus Christi, TX 78411-5301
Phone
(361) 993-7778
Fax
(361) 993-7846
NPI assigned
Aug 31, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Tim J Walz, O.D.NPI 1932213444
Title
President Optometrist
Phone
(361) 993-7778

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 TX4039TG TX Primary

Addresses

Primary practice location

5425 S Padre Island Dr
Suite 119-B
Corpus Christi, TX 78411-5301

Mailing address

5425 S Padre Island Dr
Suite 119-B
Corpus Christi, TX 78411-5301
Phone (361) 993-7778

Other names 1

  • Bay Area Vision & contact lens center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000108 TX Part B Supplier - Clinic/Group Practice 8729171855 Receives reassigned benefits from 5 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

14017 Northwest Blvd
Ste 109
Corpus Christi, TX 78410
Phone (361) 387-2607

5425 Spid Dr
Ste 119B
Corpus Christi, TX 78411
Phone (361) 993-7778

Practitioners & affiliated clinicians

Practitioners 7

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1417069196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR",
            "address_2": "SUITE 119-B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115301",
            "telephone_number": "361-993-7778",
            "fax_number": "361-993-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S PADRE ISLAND DR",
            "address_2": "SUITE 119-B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115301",
            "telephone_number": "361-993-7778",
            "fax_number": "361-993-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALZ VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "361-993-7778",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX4039TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Vision & contact lens center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.