Gregory C Walther Optometrist PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1368ATI Issued in OR

Legal business name

GREGORY C WALTHER OPTOMETRIST PC

Practice address

2125 NW Stewart Pkwy
Roseburg, OR 97471-1693

Phone

(541) 957-8537

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Carl WaltherNPI 1538279328

Title

President

Phone

(541) 957-8537

Specialties & licenses 1

Addresses

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.

• Gregory Carl Walther, OD

  • Optometrist
  • Roseburg, OR
  • NPI 1538279328
  NPD (past) Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1578852695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17804 DIXONVILLE RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974709311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711693",
            "telephone_number": "541-957-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY C WALTHER OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-957-8537",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1368ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Greaves
• April M Green
• Robert C Green, DO
• Michael E Gregg
• Patrick J Gregg, MD
• Julie Lalena Griess, CNA
• Samantha Birenbaum Griffin, FNP
• Ryann Grindstaff
• Lee Ann Grogan, QMHP- LPC INTERN
• Andrew Groshong, MD

• Optometrist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.