Jon Scott Walker, OD, MS, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

3558 Issued in FL

Practice address

10300 Southside Blvd
Jacksonville, FL 32256-0743

Phone

(904) 363-8282

Fax

(904) 363-2263

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

New England College of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Ted Brink and Associates PAGroup PAC ID 6800936360, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  Medicare reassignment Care Compare group NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment NPD
• Fleming Island Vision Center, Inc.

  • Optometrist
  • Fleming Island, FL
  • NPI 1245482710
  Medicare reassignment NPD
• Star Medical FL PLLC

  • Optometrist
  • Ormond Beach, FL
  • NPI 1164129409
  Medicare reassignment NPD
• Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
  • NPI 1730402686
  NPD
• Fleming Island Vision Center

  • Optometrist
  • Orange Park, FL
  • NPI 1861668964
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1891766606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 WOODLAKE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037227",
            "telephone_number": "904-553-2426",
            "fax_number": "904-363-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SOUTHSIDE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560743",
            "telephone_number": "904-363-8282",
            "fax_number": "904-363-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD, MS, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3558",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Walker
• Jennifer Walker, PA
• Jeonna D Walker
• Jessica Victoria Walker, MS
• Joanna Lynn Walker, D.O.
• Kareem K Walker
• Kendra Nicole Walker, MD
• Kimberly Walker, RN BSN
• Lashai Walker
• Martha K Walker, MD

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.