Individual provider Active NPI

Thunya T Walker, OD

  • Optometrist
  • Kenmore, WA
National Provider Identifier
1790097731
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60628780 Issued in WA
Practice address
6830 NE Bothell Way Ste B
Kenmore, WA 98028-3546
Phone
(425) 485-3051
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2923 TN
Optometrist 152W00000X OD60628780 WA Primary

Addresses

Primary practice location

6830 NE Bothell Way Ste B
Kenmore, WA 98028-3546

Mailing address

6830 NE Bothell Way Ste B
Kenmore, WA 98028-3546
Phone (425) 553-6924

Other names 1

  • Dr. Thunya T Walker Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509002359 WA Practitioner - Optometry 0941499974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6830 NE Bothell Way
Suite B
Kenmore, WA 98028-3546
Phone (425) 485-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2923TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Thunya Walker, PLLC Optometrist CurrentSince Apr 29, 2022 Accepting new patients
Ron Coverdale OD PS Optometrist CurrentSince Aug 10, 2025 Accepting new patients
Lake Union Vision Clinic LLC Optometrist Past Accepting new patients

Locations

6830 NE Bothell Way
Ste B
Kenmore, WA 98028
Phone (425) 485-3051

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1790097731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283546",
            "telephone_number": "425-553-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283546",
            "telephone_number": "425-485-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THUNYA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2923",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60628780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUNYA",
            "last_name": "WALKER",
            "middle_name": "T",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

Verify at the official NPI Registry.