Walls Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

629 Issued in MS

Legal business name

WALLS VISION CENTER LLC

Practice address

1655 Sunset Dr
Grenada, MS 38901-4061

Phone

(662) 226-0042

Fax

(662) 226-4696

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Thomas Walls, O.D.

Title

Optometrist

Phone

(662) 226-0042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1497828495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014061",
            "telephone_number": "662-226-0042",
            "fax_number": "662-226-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014061",
            "telephone_number": "662-226-0042",
            "fax_number": "662-226-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-226-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02473861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• W. Boyd Massey, M.D., P.a.
• Tarence E Wade, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Christopher Thomas Walls, O.D.
• Ware Family Dental Clinic LLC
• Latonya Ware, D.D.S.
• Meghan Welch, PMHNP-BC
• Della Lea Welsh

• Optometrist in Grenada, MS
• Providers in Grenada, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.