Organization Active NPI

Paul F Walker OD PC

  • Optometrist
  • Midland, MI
National Provider Identifier
1730330366
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PAUL F WALKER OD PC
Practice address
5908 Eastman Ave
Midland, MI 48640-6748
Phone
(989) 636-7200
Fax
(989) 636-7210
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Paul F Walker
Title
Owner
Phone
(989) 636-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5908 Eastman Ave
Midland, MI 48640-6748

Mailing address

5908 Eastman Ave
Midland, MI 48640-6748
Phone (989) 636-7200

Other identifiers 1

IdentifierTypeStateIssuer
1750613MedicaidMI

National Provider Directory

National Provider Directory

Locations

5908 Eastman Ave
Midland, MI 48640
Phone (989) 636-7200

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1730330366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F WALKER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-636-7200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.