Terry L Walton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003045-1 Issued in NY

Practice address

575 Glen St
Glens Falls, NY 12801-2243

Phone

(518) 792-0518

Fax

(518) 792-4739

NPI assigned

Jan 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

New England College of Optometry, 1971

Medicare assignment

May accept Medicare assignment

Group practices

Terry L Walton Doctor of Optometry PCGroup PAC ID 8729108444, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terry L Walton Doctor of Optometry PC

  • Optometrist
  • Glens Falls, NY
  • NPI 1972596369
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1437336088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012243",
            "telephone_number": "518-792-0518",
            "fax_number": "518-792-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012243",
            "telephone_number": "518-792-0518",
            "fax_number": "518-792-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003045-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00406400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynne Wagner, MOTR/L
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• Warren Washington County Homeless Youth Coalition Inc
• Renee L Wartel, LCSW

• Optometrist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.

Verify at the official NPI Registry.