Boyd L Walker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

68 Issued in AK

Practice address

3726 Lake St Ste a
Homer, AK 99603-7663

Phone

(907) 235-7745

Fax

(907) 235-7710

NPI assigned

Feb 7, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Homer Eyecare LLC

  • Optometrist
  • Homer, AK
  • NPI 1124397682
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1508044959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 LAKE ST STE A",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037663",
            "telephone_number": "907-235-7745",
            "fax_number": "907-235-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 LAKE ST STE A",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037663",
            "telephone_number": "907-235-7745",
            "fax_number": "907-235-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BOYD",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0854070001",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0680",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Adam Vonrekowski, MA, CCC-SLP
• Martha Wagele, MS
• Linda Wagner, RN
• Grace Wahl
• Aaron Andrew Walbrecher, RN
• Robert Wade Walker
• Gary Walter
• Hayley Walters
• Sydney Liane Webb, M.T.
• Wendy Webster

• Optometrist in Homer, AK
• Providers in Homer, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.