Individual provider Active NPI

Sean Walton, O.D.

  • Optometrist
  • Ocala, FL
National Provider Identifier
1720244387
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4856 Issued in FL
Practice address
2393 SW College Rd
Plaza 200
Ocala, FL 34471-1661
Phone
(352) 291-5098
Fax
(352) 414-5525
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4856 FL Primary

Addresses

Primary practice location

2393 SW College Rd
Plaza 200
Ocala, FL 34471-1661

Mailing address

3001 SW 24TH Ave Apt 2015
Ocala, FL 34471-7842
Phone (850) 443-0301

Other identifiers 1

IdentifierTypeStateIssuer
010970400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140304001534 FL Practitioner - Optometry 8325105943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

2161 Main St
Dunedin, FL 34698-5606
Phone (727) 734-8843

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Sep 1, 2014 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Dec 2, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Sep 1, 2014 Accepting new patients

Locations

2161 Main St
Dunedin, FL 34698
Phone (727) 734-8843

3324 W University Ave
Ste A
Gainesville, FL 32607
Phone (352) 240-0801

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

5330 SW College Rd
Ocala, FL 34474
Phone (352) 512-0560

2393 SW College Rd
#200
Ocala, FL 34471
Phone (352) 291-5098

5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560

2393 SW College Rd
Ocala, FL 34471
Phone (352) 291-5098

6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1720244387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SW 24TH AVE APT 2015",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717842",
            "telephone_number": "850-443-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 SW COLLEGE RD",
            "address_2": "PLAZA 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711661",
            "telephone_number": "352-291-5098",
            "fax_number": "352-414-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010970400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.