Active NPI
Jason Walston, OD
- Optometrist
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0000002970
- Practice address
- 386 W Main St
Suite 104
Hendersonville, TN 37075-3349 - Phone
- (615) 338-3602
- NPI assigned
- Dec 7, 2010
- Last updated
- Oct 31, 2016
- 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 | 0000002970 | TN | Primary |
Addresses
Primary practice location
386 W Main St
Suite 104
Hendersonville, TN 37075-3349
Mailing address
386 W Main St
Suite 104
Hendersonville, TN 37075-3349
Phone (615) 338-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Indiana University - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Milton Way
Milton, WA 98354-8800
Phone (253) 922-0333
3647 NW Byron St
Suite 100
Silverdale, WA 98383-7680
Phone (360) 692-6115
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000002970 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Orchard Eyecare Centers Inc, PS | Optometrist | Current | Accepting new patients |
| Auburn Eyecare Center, LLC | Optometrist | Current | Accepting new patients |
| Milton Eyecare Center, LLC | Optometrist | Current | Accepting new patients |
| Silverdale Eyecare Center Inc | Optometrist | Current | Accepting new patients |
Locations
1105 Harvey Rd NE
Auburn, WA 98002
Phone (253) 833-5000
101 Milton Way
Milton, WA 98354
Phone (253) 922-0333
2914 Mitchell Rd SE
Port Orchard, WA 98366
Phone (360) 784-2020
3647 NW Byron St
Ste 100
Silverdale, WA 98383
Phone (360) 692-6115
Organizations & group practices 4
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.
-
- Optometrist
- Silverdale, WA
- NPI 1588738165
-
- Optometrist
- Milton, WA
- NPI 1679123442
-
dba 20/20 Eyecare Centers
- Optometrist
- Port Orchard, WA
- NPI 1326111501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1750684122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 W MAIN ST",
"address_2": "SUITE 104",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753349",
"telephone_number": "615-338-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 W MAIN ST",
"address_2": "SUITE 104",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753349",
"telephone_number": "615-338-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSTON",
"first_name": "JASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-07",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "0000002970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.