Gavin Judd Walters, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003810 Issued in CO

Practice address

6005 Delmonico Dr Ste 140
Colorado Springs, CO 80919-2264

Phone

(719) 522-9393

Fax

(719) 532-1114

NPI assigned

Jun 16, 2022

Sex

Male

Sole proprietor

Yes

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 CO

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Vision PCGroup PAC ID 9830282797, 4 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 and National Provider Directory roles.

• Mountain View Vision, PC

  dba Mountain View Vision

  • Optometrist
  • Colorado Springs, CO
  • NPI 1942408737
  Medicare reassignment Care Compare group NPD
• Peek Eyecare LLC

  dba Eyetopia Eyecare

  • Optometrist
  • Littleton, CO
  • NPI 1245071455
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1497485817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6974 SIERRA MEADOWS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085625",
            "telephone_number": "719-651-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192264",
            "telephone_number": "719-522-9393",
            "fax_number": "719-532-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 Sisters Grv Ste 210",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232629",
            "country_code": "US",
            "telephone_number": "719-380-6808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "GAVIN",
        "middle_name": "JUDD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Renee Walter
• Jessica Lynn Walter
• Brandi Walters, LPC
• Christina Walters
• Debra Kay Walters, NPC
• Jeannice Walters, PA
• Mackenzie Walters
• Ryan Walters
• Tina Walters
• Nicole Walther

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.