Organization Active NPI

Phillip a. Walker O.D. Inc.

Doing business as The Eye Care Center

  • Optometrist
  • Edmond, OK
National Provider Identifier
1548330053
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
852 Issued in OK
Legal business name
PHILLIP A. WALKER O.D. INC.
Doing business as
The Eye Care Center
Practice address
16135 North May Avenue
Suite a
Edmond, OK 73013
Phone
(405) 751-5638
Fax
(405) 752-1692
NPI assigned
Nov 9, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Phillip A. Walker, O.D.NPI 1982757829
Title
President
Phone
(405) 751-5638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 852 OK
Optometrist 152W00000X 852 OK Primary
Corneal and Contact Management Optometrist 152WC0802X 852 OK
Sports Vision Optometrist 152WS0006X 852 OK
Vision Therapy Optometrist 152WV0400X 852 OK
Occupational Vision Optometrist 152WX0102X 852 OK
Contact Lens Technician/Technologist 156FC0800X 852 OK
Contact Lens Fitter 156FC0801X 852 OK
Optician 156FX1800X 852 OK

Addresses

Primary practice location

16135 North May Avenue
Suite a
Edmond, OK 73013

Mailing address

16135 North May Avenue
Suite a
Edmond, OK 73013
Phone (405) 751-5638

Other identifiers 1

IdentifierTypeStateIssuer
OK0852OtherOKSTATE OF OKLA LICENSE NUM

Other names 1

  • The Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

11902 N Pennsylvania Ave
Ste C4
Oklahoma City, OK 73120
Phone (405) 751-5638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1548330053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 NORTH MAY AVENUE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-751-5638",
            "fax_number": "405-752-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 NORTH MAY AVENUE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-751-5638",
            "fax_number": "405-752-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A. WALKER O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-751-5638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "852",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "OK",
            "license": "852",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OK",
            "license": "852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OKLA LICENSE NUM",
            "identifier": "OK0852",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.