Julie L Walsh

Primary specialty

OptometristTaxonomy code 152W00000X

License

2607 Issued in MN

Practice address

183 Main St W
Wabasha, MN 55981-1236

Phone

(651) 565-3687

NPI assigned

May 17, 2006

Last updated

Nov 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1952356297
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1841242773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811236",
            "telephone_number": "651-565-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811236",
            "telephone_number": "651-565-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JULIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841242773",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00666608",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wabasha County Social Services
• Wabasha Dentistry LLC (Wabasha Dentistry)
• Wabasha-Kellogg #811
• Matthew Wagner, NP
• Nicole Marie Wallis, MD
• Wenden Recovery Services of Wabasha
• Malinda Jean Wise, MSW, LICSW
• Wodele Enterprises Incorporated (Wabasha Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.