Individual provider Active NPI

Adell Ann Elizabeth Walters, OD

  • Optometrist
  • Ennis, TX
National Provider Identifier
1679143606
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10513 Issued in TX
Practice address
2405 Yorkstown Dr
Ennis, TX 75119-2191
Phone
(972) 895-7205
NPI assigned
Jun 30, 2021
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002504 AZ
Optometrist 152W00000X 10513 TX Primary

Addresses

Primary practice location

2405 Yorkstown Dr
Ennis, TX 75119-2191

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Other names 1

  • Adell-Ann Elizabeth Walters Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220914000687 TX Practitioner - Optometry 3577948421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jerry Northcutt PLLCGroup PAC ID 1557339215, 2 clinicians
Med Southwest PLLCGroup PAC ID 4082952874, shared by 16 NPIs, 234 clinicians
Arlington Ophthalmology Association PLLCGroup PAC ID 2668379876, 22 clinicians

Practice addresses (Care Compare)

2405 Yorkstown Dr
Ennis, TX 75119-2191
Phone (972) 878-3181

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002504AZMDOptometrist
10513TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Cliff Eye Clinic PLLC CurrentSince May 1, 2023 Accepting new patients
Arlington Ophthalmology Association PLLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Jerry Northcutt, PLLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Eye Centers of North Texas, PLLC CurrentSince May 1, 2023 Accepting new patients
Minadeo Eye Center PLLC Optometrist PastSince Aug 12, 1997 Accepting new patients

Locations

350 E Interstate 20
Arlington, TX 76018
Phone (817) 784-6771

2301 S Hampton Rd
Ste 500
Dallas, TX 75224
Phone (214) 330-3937

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

2405 Yorkstown Dr
Ennis, TX 75119
Phone (972) 875-3181

505 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 887-7623

2007 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

3645 Dallas Pkwy
Ste 545
Plano, TX 75093
Phone (214) 440-5200

2520 N Central Expy
Ste 200
Richardson, TX 75080
Phone (469) 435-3045

Interoperability endpoints

  • Direct secure messaging: adell.walters.p1@direct.keec.nextgenshare.com

Organizations & group practices 5

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1679143606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 YORKSTOWN DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751192191",
            "telephone_number": "972-895-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760181119",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ADELL ANN",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002504",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELL-ANN",
            "last_name": "WALTERS",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.