Individual provider Active NPI

George Ronald Walters, MD

  • Ophthalmology Physician
  • Port Arthur, TX
National Provider Identifier
1508875139
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E4749 Issued in TX
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

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4749TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George R. Walters, M.D., P.a. Ophthalmology CurrentSince Feb 1, 2012 Accepting new patients
Eye City LLC Past Accepting new patients
Burt a Ginsburg MD PA PastSince Feb 6, 2020 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.

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.

Verify at the official NPI Registry.