Active NPI
George Ronald Walters, MD
- Ophthalmology Physician
- Port Arthur, TX
National Provider Identifier
1508875139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E4749
- Practice address
- 3000 39TH St
Suite 102
Port Arthur, TX 77642-5517 - Phone
- (409) 985-2569
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E4749 | TX | Primary |
Addresses
Primary practice location
3000 39TH St
Suite 102
Port Arthur, TX 77642-5517
Mailing address
103 King Palms Way
Lumberton, TX 77657-8970
Phone (254) 640-3855
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4749 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George R. Walters, M.D., P.a. | Ophthalmology | Current | Accepting new patients |
| Eye City LLC | Past | Accepting new patients | |
| Burt a Ginsburg MD PA | Past | Accepting new patients | |
| Aeg Texas Professional PLLC | Past | Accepting new patients | |
| Valley Eye Center PA | Ophthalmology | Past | Accepting new patients |
Locations
8300 Old McGregor Rd
Ste 2
Woodway, TX 76712
Phone (254) 235-3937
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Woodway, TX
- NPI 1508135500
-
- Contact Lens Technician/Technologist
- Harker Heights, TX
- NPI 1396995585
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
- Specialist
- Houston, TX
- NPI 1326319518
-
- Ophthalmology Physician
- Round Rock, TX
- NPI 1801838560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1508875139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 KING PALMS WAY",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776578970",
"telephone_number": "254-640-3855",
"fax_number": "409-985-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 39TH ST",
"address_2": "SUITE 102",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776425517",
"telephone_number": "409-985-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "GEORGE",
"middle_name": "RONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E4749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.