Individual provider Active NPI

Heather Rebecca Walker, O.D.

  • Optometrist
  • Lenoir City, TN
National Provider Identifier
1669428454
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2236 Issued in TN
Practice address
603 Highway 321 N
Ste 301
Lenoir City, TN 37771-6575
Phone
(865) 986-3518
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2236 TN Primary

Addresses

Primary practice location

603 Highway 321 N
Ste 301
Lenoir City, TN 37771-6575

Mailing address

90 Vermont Ave
Oak Ridge, TN 37830-6474
Phone (865) 482-8890

Other identifiers 1

IdentifierTypeStateIssuer
3945023MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040310001564 TN Practitioner - Optometry 7416846357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Oak Ridge,PCGroup PAC ID 8527040690, 14 clinicians

Practice addresses (Care Compare)

90 Vermont Ave
Oak Ridge, TN 37830-6474

90 Vermont Ave
Oak Ridge, TN 37830-6478
Phone (865) 482-8890

Merit-based Incentive Payment System (MIPS)

Final score
75.96 of 100Reported as group
Quality
62.76
Improvement activities
40
Cost
69.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2236TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Oak Ridge,PC Optometrist CurrentSince Jan 1, 2013 Accepting new patients
Performance Eyecare Clinic, Inc. Optometrist Past Accepting new patients
Performance Eyecare PLLC Optometrist PastSince Aug 1, 2006 Accepting new patients

Locations

603 Highway 321 N
Ste 301
Lenoir City, TN 37771
Phone (865) 986-3518

125 Town Creek Rd E
Ste 1
Lenoir City, TN 37772
Phone (865) 986-3421

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

Organizations & group practices 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1669428454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 321 N",
            "address_2": "STE 301",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716575",
            "telephone_number": "865-986-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HEATHER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945023",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.