Individual provider Active NPI

Nathan Walker, O.D.

  • Optometrist
  • Glenolden, PA
National Provider Identifier
1851314355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001360 Issued in PA
Practice address
30 S Macdade Blvd
Glenolden, PA 19036-1725
Phone
(610) 586-0651
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001360 PA Primary

Addresses

Primary practice location

30 S Macdade Blvd
Glenolden, PA 19036-1725

Mailing address

30 S Macdade Blvd
Glenolden, PA 19036-1725
Phone (610) 586-0651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200102002584 TX Practitioner - Optometry 0941206700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace M Salone OD PLLCGroup PAC ID 3173776598, 3 clinicians

Practice addresses (Care Compare)

1150 E Market St
Sinton, TX 78387-2930
Phone (361) 360-4434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace M Salone, OD, PLLC Optometrist CurrentSince Aug 10, 2024 Accepting new patients
Nathan Walker PastSince Jan 1, 1990 Accepting new patients

Locations

1150 E Market St
Sinton, TX 78387
Phone (361) 360-4434

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851314355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S MACDADE BLVD",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361725",
            "telephone_number": "610-586-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MACDADE BLVD",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361725",
            "telephone_number": "610-586-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenolden, PA

Sources for this page

Verify at the official NPI Registry.