Individual provider Active NPI

Donald Raymond Walker, O.D.

  • Optometrist
  • Randolph, NJ
National Provider Identifier
1508891466
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA3710 Issued in NJ
Practice address
477 State Highway 10
Suite 103
Randolph, NJ 07869-2116
Phone
(973) 328-1311
Fax
(973) 328-8085
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA3710 NJ Primary

Addresses

Primary practice location

477 State Highway 10
Suite 103
Randolph, NJ 07869-2116

Mailing address

477 Route 10 East
Suite 103
Randolph, NJ 07869-2116
Phone (973) 328-1311

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA3710NJMDOptometrist

Interoperability endpoints

  • Direct secure messaging: donaldwalker@randolpheyes.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1508891466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 EAST",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692116",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 STATE HIGHWAY 10",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692116",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DONALD",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.