Active NPI
Elizabeth Ann Bradley-Walker, O.D.
- Optometrist
- Tulsa, OK
National Provider Identifier
1821375171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2592
- Practice address
- 6140 S Memorial Dr
Tulsa, OK 74133-1933 - Phone
- (918) 252-2020
- Fax
- (918) 307-1983
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- 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 | 2592 | OK | Primary |
Addresses
Primary practice location
6140 S Memorial Dr
Tulsa, OK 74133-1933
Mailing address
6622 S 112TH East Ave
Tulsa, OK 74133-2629
Phone (918) 850-2850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2592 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1821375171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 S 112TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741332629",
"telephone_number": "918-850-2850",
"fax_number": "918-286-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741331933",
"telephone_number": "918-252-2020",
"fax_number": "918-307-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY-WALKER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.