Organization Active NPI

Walker Eyecare Associates PLLC

  • Optometrist
  • Boise, ID
National Provider Identifier
1750637948
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WALKER EYECARE ASSOCIATES PLLC
Practice address
350 N Milwaukee St Ste 1188
Boise, ID 83704-9128
Phone
(208) 376-0893
Fax
(208) 376-3029
NPI assigned
Jul 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Terry H Walker, ODNPI 1487840328
Title
Owner
Phone
(208) 376-0893

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 NU Primary

Addresses

Primary practice location

350 N Milwaukee St Ste 1188
Boise, ID 83704-9128

Mailing address

350 N Milwaukee St Ste 1188
Boise, ID 83704-9128
Phone (208) 376-0893

Other identifiers 1

IdentifierTypeStateIssuer
1487840328OtherNPI TYPE 1

National Provider Directory

National Provider Directory

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": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1750637948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MILWAUKEE ST STE 1188",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049128",
            "telephone_number": "208-376-0893",
            "fax_number": "208-376-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MILWAUKEE ST STE 1188",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049128",
            "telephone_number": "208-376-0893",
            "fax_number": "208-376-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER EYECARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-376-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1487840328",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.