Active NPI
David V Walsh, OD
- Optometrist
- Ft Wainwright, AK
National Provider Identifier
1528129673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T006557
- Practice address
- Commander USA Meddac Ak McUc QM (Attn Credentials)
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440 - Phone
- (907) 353-5418
- Fax
- (907) 353-4847
- NPI assigned
- Dec 13, 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 | T006557 | NY | Primary |
Addresses
Primary practice location
Commander USA Meddac Ak McUc QM (Attn Credentials)
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Mailing address
Commander USA Meddac Ak McUc QM (Attn Credentials)
1060 Gaffney Rd Ste 7440
Ft Wainwright, AK 99703-7440
Phone (907) 353-5418
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T006557 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528129673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMANDER USA MEDDAC AK MCUC QM (ATTN CREDENTIALS)",
"address_2": "1060 GAFFNEY RD STE 7440",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997037440",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMANDER USA MEDDAC AK MCUC QM (ATTN CREDENTIALS)",
"address_2": "1060 GAFFNEY RD STE 7440",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997037440",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "DAVID",
"middle_name": "V",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T006557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Wainwright, AK
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.