Individual provider Active NPI

Kimberley Dawn Walters, O.D.

  • Optometrist
  • Weaverville, NC
National Provider Identifier
1598769093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1726 Issued in NC
Practice address
49 N Buncombe School Rd
Weaverville, NC 28787-9608
Phone
(828) 645-0061
Fax
(828) 645-0602
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1726 NC Primary

Addresses

Primary practice location

49 N Buncombe School Rd
Weaverville, NC 28787-9608

Mailing address

PO Box 564
Weaverville, NC 28787-0564
Phone (828) 645-0061

Other identifiers 2

IdentifierTypeStateIssuer
09003OtherNCBCBS OF NC
7909003MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216001080 NC Practitioner - Optometry 4385601764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 N Buncombe School Rd
Weaverville, NC 28787-9608
Phone (828) 645-0061

Merit-based Incentive Payment System (MIPS)

Final score
79.4 of 100Reported as group
Quality
58.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1726NCMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598769093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287870564",
            "telephone_number": "828-645-0061",
            "fax_number": "828-645-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N BUNCOMBE SCHOOL RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879608",
            "telephone_number": "828-645-0061",
            "fax_number": "828-645-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KIMBERLEY",
        "middle_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "09003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.