Zachary Thomas Walters, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2175DT Issued in KY

Practice address

3469 N Mayo TRL
Pikeville, KY 41501-3265

Phone

(606) 432-5800

NPI assigned

Sep 13, 2018

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Kendall CecilGroup PAC ID 1850341934, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Kendall Cecil

  dba East Kentucky Eyecare

  • Optometrist
  • Pikeville, KY
  • NPI 1396927935
  Medicare reassignment Care Compare group NPD
• East Kentucky Eyecare PLLC

  • Optometrist
  • Pikeville, KY
  • NPI 1669384020
  Authorized official Same address or phone

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1497238547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-432-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-432-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-899-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2175DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #19657)
• Hannah Grace Wallace
• Meredith L. Wallace, RD, LD
• Shane K Wallace, CRNA
• Stephanie Lynn Wallace
• Elyn Harriet Wang, MD
• Weiping Wang, MD
• Ariel Ward, RBT
• Jessie Daniel Ward, PE/MA
• Kimberly Ann Ward

• Optometrist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.