Travis D Walters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2451 Issued in SC

Practice address

4811 Fayetteville Rd
Lumberton, NC 28358-2111

Phone

(910) 739-3323

NPI assigned

Nov 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment Care Compare group NPD
• Vaught Eye Associates, PA

  • Optometrist
  • Conway, SC
  • NPI 1720187172
  Medicare reassignment NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1083341432
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Vaught Eye Associates,PA

  • Ophthalmology Physician
  • Conway, SC
  • NPI 1942660931
  NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Wilson, NC
  • NPI 1376582239
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Dobson, NC
  • NPI 1558800722
  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1821863259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582111",
            "telephone_number": "910-739-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Main St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295263567",
            "country_code": "US",
            "telephone_number": "843-488-2020",
            "fax_number": "843-488-0141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-774-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1669 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043425",
            "country_code": "US",
            "telephone_number": "910-323-3698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283117672",
            "country_code": "US",
            "telephone_number": "910-488-0211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4107 Oleander Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036837",
            "country_code": "US",
            "telephone_number": "910-395-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "579 Cross Creek Mall",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283037245",
            "country_code": "US",
            "telephone_number": "910-487-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TRAVIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Ann Walters, M.ED., CCC-SLP
• Christopher Ronald Walters, M.D.
• Daniel Claybourn Walters Jr., DDS
• Leisha Hoyland Walters, PHARMD
• Lori Penelope Walters, RPH
• John Allen Wareham, MD
• Karen Lynn Warwick, FNP-BC
• Anna Marie Watkins, LCSW
• Meagan Watkins, MD
• Jessica Velissa Watts, NP

• Optometrist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.