NPIMap

Organization Active NPI

George R. Walters, M.D., P.a.

Doing business as Custom Lasik and Cataract Center

  • Ophthalmology Physician
  • Woodway, TX
National Provider Identifier
1508135500
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E4749 Issued in TX
Legal business name
GEORGE R. WALTERS, M.D., P.A.
Doing business as
Custom Lasik and Cataract Center
Practice address
8300 Old McGregor Rd
Suite 2
Woodway, TX 76712-3600
Phone
(254) 235-3937
Fax
(254) 235-1517
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. George R Walters, M.D.NPI 1508875139
Title
Doctor/Owner
Phone
(254) 235-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E4749 TX Primary

Addresses

Primary practice location

8300 Old McGregor Rd
Suite 2
Woodway, TX 76712-3600

Mailing address

8300 Old McGregor Rd
Suite 2
Woodway, TX 76712-3600
Phone (254) 235-3937

Other names 1

  • Custom Lasik and Cataract Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1508135500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD",
            "address_2": "SUITE 2",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-235-3937",
            "fax_number": "254-235-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD",
            "address_2": "SUITE 2",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-235-3937",
            "fax_number": "254-235-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R. WALTERS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "254-235-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E4749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Lasik and Cataract Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.