Stephen Curtis Walker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NM489 Issued in NM

Practice address

3530 Zafarano Drive
Santa Fe, NM 87507

Phone

(505) 473-5100

Fax

(505) 473-5104

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David Vise OD, LLC

  • Medical Specialty Clinic/Center
  • Santa Fe, NM
  • NPI 1346685658
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1619957024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BAYA CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-473-5100",
            "fax_number": "505-473-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 ZAFARANO DRIVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-473-5100",
            "fax_number": "505-473-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHEN",
        "middle_name": "CURTIS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "489",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00P942",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Danielle Walker, MOTR/L
• Joah Walker
• Kari Walker
• Melinda Lee Walker, LPCC
• Nina Marie Walker
• Wall Chiropractic, LLC
• Kathryn Wall Ganz
• Lise S Wall, D.C.
• Braden Jacob Wallace, PHARMD
• Helen Timmie Wallace, PT

• All providers in Santa Fe, NM
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.