Andrea Walker

Primary specialty

OptometristTaxonomy code 152W00000X

License

2724 Issued in AR

Practice address

115 Audubon Dr
Maumelle, AR 72113-7408

Phone

(501) 803-3937

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Walker Eye Care

  • Optometrist
  • Benton, AR
  • NPI 1649056003
  Medicare reassignment NPD Authorized official
• Derek S Long OD Inc

  dba North Little Rock Primary Eye Care

  • Optometrist
  • North Little Rock, AR
  • NPI 1255577532
  Medicare reassignment NPD
• Derek S Long OD Inc

  dba Eye Exams, Inc

  • Optometrist
  • Hot Springs, AR
  • NPI 1487812392
  NPD
• Derek S Long OD, Inc

  dba Maumelle Eye Care

  • Optometrist
  • Maumelle, AR
  • NPI 1043412067
  NPD

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1780067587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TOWNE CENTRE DR",
            "address_2": "STE 1",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137756",
            "telephone_number": "501-803-3937",
            "fax_number": "501-803-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AUDUBON DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137408",
            "telephone_number": "501-803-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17309 I 30",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720152927",
            "country_code": "US",
            "telephone_number": "501-819-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2724",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Arkansas for Medical Sciences
• Jessica Upchurch, NP
• Stephanie Vangilder, PHARMD
• Matthew Wagner, M.D.
• Walgreen Co (Walgreens #12418)
• Lucus Austin Walker, QBHP
• Dionne H Wallace, CNP
• Kaelee Wallace, PT, DPT
• Michele Leigh Walls, LMSW
• Lauren Ward

• Optometrist in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.

Verify at the official NPI Registry.