Active NPI
Charlene Marie Walton, O.D.
- Optometrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60558068
- Practice address
- 2501 N 45TH St
Seattle, WA 98103-6909 - Phone
- (206) 526-5222
- Fax
- (206) 675-1460
- NPI assigned
- Oct 10, 2012
- Last updated
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60558068 | WA | Primary |
Addresses
Primary practice location
2501 N 45TH St
Seattle, WA 98103-6909
Mailing address
2501 N 45TH St
Seattle, WA 98103-6909
Phone (206) 526-5222
Other practice location 1
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8942686 | Other | WA | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Puget Sound Eye Care | Optometrist | Current | Accepting new patients |
Locations
12402 SE 38th St
Ste 203
Bellevue, WA 98006
Phone (425) 454-0200
2930 Maple St
Everett, WA 98201
Phone (425) 261-1500
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
2501 N 45th St
Seattle, WA 98103
Phone (206) 526-5222
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- cwalton3940409@ghc.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Optometrist
- Seattle, WA
- NPI 1659426211
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1427300763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036909",
"telephone_number": "206-526-5222",
"fax_number": "206-675-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036909",
"telephone_number": "206-526-5222",
"fax_number": "206-675-1460"
}
],
"practiceLocations": [
{
"address_1": "2930 Maple St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013832",
"country_code": "US",
"telephone_number": "425-261-1500",
"fax_number": "425-261-1515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTON",
"first_name": "CHARLENE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60558068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8942686",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2930 Maple St",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982013832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.