Organization Active NPI

Walden Eye Care, LLC

  • Optometrist
  • Hagerstown, IN
National Provider Identifier
1740673631
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003616A Issued in IN
Legal business name
WALDEN EYE CARE, LLC
Practice address
50 N Perry St
Hagerstown, IN 47346-1223
Phone
(765) 489-4463
NPI assigned
Mar 17, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Dr. Taylor Walden, ODNPI 1144451527
Title
Owner
Phone
(765) 489-4463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003616A IN Primary

Addresses

Primary practice location

50 N Perry St
Hagerstown, IN 47346-1223

Mailing address

PO Box 226
Hagerstown, IN 47346-0226
Phone (765) 489-4463

National Provider Directory

National Provider Directory

Locations

50 N Perry St
Hagerstown, IN 47346
Phone (317) 399-7112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1740673631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473460226",
            "telephone_number": "765-489-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461223",
            "telephone_number": "765-489-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-489-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003616A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.