Active NPI
Terry William Walker, OD
- Optometrist
- Crestline, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5249
- Practice address
- 330 N Seltzer St
Crestline, OH 44827-1403 - Phone
- (419) 462-4556
- Fax
- (419) 462-4557
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 2, 2011
- 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 | 5249 | OH | Primary |
Addresses
Primary practice location
330 N Seltzer St
Crestline, OH 44827-1403
Mailing address
330 N Seltzer St
Crestline, OH 44827-1403
Phone (419) 462-4556
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201823 | Other | OH | UNITED HEALTHCARE |
| 2263161 | Medicaid | OH | |
| 000000241963 | Other | OH | ANTHEM |
| 410049534 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
330 N Seltzer St
Crestline, OH 44827-1403
Phone (419) 468-0505
385 N Seltzer St
Crestline, OH 44827-1400
Phone (419) 468-0449
700 N Columbus St
Crestline, OH 44827-1455
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5249 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galion Community Hospital | Current | Accepting new patients | |
| Galion Community Hospital | Current | Accepting new patients |
Locations
330 N Seltzer St
Crestline, OH 44827
Phone (419) 468-0796
385 N Seltzer St
Crestline, OH 44827
Phone (419) 468-0449
700 N Columbus St
Crestline, OH 44827
Phone (419) 462-3485
269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547
2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505
Interoperability endpoints
- twalker482433@direct.osumc.edu
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.
-
dba GCH Health Services
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- Specialist
- Galion, OH
- NPI 1689822827
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba GCH Health Services
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1710906219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N SELTZER ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271403",
"telephone_number": "419-462-4556",
"fax_number": "419-462-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N SELTZER ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271403",
"telephone_number": "419-462-4556",
"fax_number": "419-462-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TERRY",
"middle_name": "WILLIAM",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2201823",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2263161",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000241963",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410049534",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestline, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.