Walter Hathaway, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC860 Issued in FL

Legal business name

WALTER HATHAWAY, O.D.

Practice address

255 John Knox Rd
Tallahassee, FL 32303-6676

Phone

(850) 385-0255

Fax

(850) 385-3941

NPI assigned

Apr 19, 2012

Organization subpart

Yes

Parent organization

WALTER HATHAWAY, O.D.As reported in NPPES

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

Authorized official

Name

Ms. Remonia R Alderman

Title

Office Manager

Phone

(850) 385-0255

Specialties & licenses 7

Addresses

Other identifiers 1

Part of

Walter Hathaway OD

Locations

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1669739397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 JOHN KNOX RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036676",
            "telephone_number": "850-385-0255",
            "fax_number": "850-385-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 JOHN KNOX RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036676",
            "telephone_number": "850-385-0255",
            "fax_number": "850-385-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER HATHAWAY, O.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER HATHAWAY, O.D.",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "REMONIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-385-0255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC860",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "FL",
            "license": "OPC860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084900600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Waller
• Marshall David Walls, ATC
• Mary J. Walsh, M.S., CCC-SLP
• Michelle Walsh, LCSW
• Suzannah McKenzie Walsh, COTA/L
• Breanna Jameson Walters, MD
• Jordan Daniel Walters, MD
• Kirstin Walther, DMD
• Russell Walther, DDS, MD
• James Franklin Walton III, DDS

• Optometrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.