Active NPI
James C Walter, OD
- Optometrist
- Tinley Park, IL
National Provider Identifier
1659448611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 16630 Oak Park Ave
Tinley Park, IL 60477-1755 - Phone
- (708) 532-0800
- Fax
- (708) 532-4810
- NPI assigned
- Nov 28, 2006
- Last updated
- Nov 21, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
16630 Oak Park Ave
Tinley Park, IL 60477-1755
Mailing address
16630 Oak Park Ave
Tinley Park, IL 60477-1755
Phone (708) 532-0800
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMR LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1659448611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16630 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771755",
"telephone_number": "708-532-0800",
"fax_number": "708-532-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16630 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771755",
"telephone_number": "708-532-0800",
"fax_number": "708-532-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.