Active NPI
Donald Raymond Walker, O.D.
- Optometrist
- Randolph, NJ
National Provider Identifier
1508891466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA3710
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OA3710 | NJ | MD | Optometrist |
Interoperability endpoints
- 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.