Jessica Walk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60123117 Issued in WA

Practice address

19171 SE Mill Plain Blvd Ste 101
Vancouver, WA 98683-9321

Phone

(360) 254-1026

Fax

(360) 256-2318

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott R Lewis, OD, PLLCGroup PAC ID 1153590005, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.walk@direct.revolutionehr.com

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.

• Scott R Lewis, OD, PLLC

  • Optometrist
  • Camas, WA
  • NPI 1316233968
  Medicare reassignment Care Compare group NPD
• Dr Crystal Edison OD & Associates PLLC

  • Optometrist
  • Brush Prairie, WA
  • NPI 1972175735
  NPD (past)
• Dr Maureen Fahey and Associates

  • Optometrist
  • Kennewick, WA
  • NPI 1679675276
  NPD (past)
• Ray Vision LLC

  • Optometrist
  • Vancouver, WA
  • NPI 1932777968
  NPD (past)
• Shopko Stores Operating Co. LLC

  • Eyewear Supplier
  • Albert Lea, MN
  • NPI 1528010642
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477560993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 SE 3RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848402",
            "telephone_number": "205-541-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19171 SE MILL PLAIN BLVD STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839321",
            "telephone_number": "360-254-1026",
            "fax_number": "360-256-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALK",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "T-189-TA-723",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60123117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreens
• Melissa Waliezer, LPN
• Walk in Hope Counseling PLLC
• Destinie Marie Walker
• Emily Walker, MD
• Kaylee Walker
• Kelly K Walker, RN
• Kristin Michelle Walker, BA, A

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.