Individual provider Active NPI

George Albert Walton III, OD

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1508498692
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-007826P Issued in PA
Practice address
1875 Hempstead Rd
Lancaster, PA 17601-5671
Phone
(717) 358-1240
Fax
(717) 358-1209
NPI assigned
Feb 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-007826P PA Primary

Addresses

Primary practice location

1875 Hempstead Rd
Lancaster, PA 17601-5671

Mailing address

278 Mason Dr
Ephrata, PA 17522-2660
Phone (717) 738-2303

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gwaltonod.gw@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OE-007826PPAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1508498692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MASON DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222660",
            "telephone_number": "717-738-2303",
            "fax_number": "717-358-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HEMPSTEAD RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015671",
            "telephone_number": "717-358-1240",
            "fax_number": "717-358-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "GEORGE",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-007826P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gwaltonod.gw@gmail.com",
            "affiliation": "N",
            "address_1": "1875 Hempstead Rd",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176015671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.