Walnut Vision Care Wa

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WALNUT VISION CARE WA

Practice address

251 Southcenter Mall
Tukwila, WA 98188-2834

Phone

(855) 550-0743

NPI assigned

Jul 11, 2024

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dave Gilboa

Title

Ceo

Phone

(855) 550-0743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1780421263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SPRING ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131522",
            "telephone_number": "855-550-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882834",
            "telephone_number": "855-550-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT VISION CARE WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "GILBOA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-550-0743"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisse Walker
• Diane E Walker, ARNP
• Jeffrey L Walker, PHARMD
• Megan F Walker
• Hope Irene Wallen
• Elizabeth Anne Walters, MSW
• Jerome Walters Sr., CDP
• Harrison Wamai, DDS
• Maria Wamansjah, PHARMACIST
• Jonathan Alan Wan, D.C

• Eyewear Supplier in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.