Active NPI
Adam Michael Walter, OD
- Optometrist
- Omaha, NE
National Provider Identifier
1528065455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1247
- Practice address
- 6751 N 72ND St
Suite 105
Omaha, NE 68122-1746 - Phone
- (402) 572-2020
- Fax
- (402) 572-2150
- NPI assigned
- Jul 7, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3958 | FL | |
| Optometrist | 152W00000X | 1247 | NE | Primary |
| Optometrist | 152W00000X | 02336 | IA |
Addresses
Primary practice location
6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Mailing address
6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone (402) 572-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37083 | Other | NE | BCBS |
| P00274869 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9973 S 168TH Ave
Omaha, NE 68136-4232
Phone (402) 505-9006
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3958 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J and a Walter LLC | Optometrist | Current | Accepting new patients |
Locations
9973 S 168th Ave
Omaha, NE 68136
Phone (281) 465-9505
Organizations & group practices 1
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.
-
- Optometrist
- Omaha, NE
- NPI 1942727821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528065455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6751 N 72ND ST",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221746",
"telephone_number": "402-572-2020",
"fax_number": "402-572-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6751 N 72ND ST",
"address_2": "SUITE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221746",
"telephone_number": "402-572-2020",
"fax_number": "402-572-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "3958",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1247",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02336",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37083",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00274869",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.