Walkoviak Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3441 Issued in MN

Legal business name

WALKOVIAK OPTOMETRY LLC

Practice address

21615 S Diamond Lake Rd
Rogers, MN 55374-8893

Phone

(763) 428-9766

Fax

(763) 428-9052

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Walkoviak, O.D.

Title

Optometrist

Phone

(763) 428-9766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1821466533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553620120",
            "telephone_number": "763-428-9766",
            "fax_number": "763-428-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 S DIAMOND LAKE RD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553748893",
            "telephone_number": "763-428-9766",
            "fax_number": "763-428-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKOVIAK OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "WALKOVIAK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "763-428-9766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette R Vanstelten, PSY D
• Emily Volinkaty
• Katherine Wahl
• Sarah J Walentiny
• Walgreen Co
• Ashley Walkoviak, O.D.
• Laura Wallace, CNP, DNP-FNP
• Gabrielle Louise Walstrom
• Ashley Walters, LCSW
• Denise Andrea Washington-Wilson

• Optometrist in Rogers, MN
• Providers in Rogers, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.