Organization Active NPI

Walton Eye Care, Inc.

  • Ophthalmology Physician
  • Monroe, GA
National Provider Identifier
1891988465
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WALTON EYE CARE, INC.
Practice address
517 Great Oaks Dr
Ste 101
Monroe, GA 30655-8211
Phone
(770) 267-4561
Fax
(770) 267-8061
NPI assigned
Aug 27, 2007
Last updated
May 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
James Tammaro, MDNPI 1881666006
Title
Owner
Phone
(770) 267-4561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X GA Primary

Addresses

Primary practice location

517 Great Oaks Dr
Ste 101
Monroe, GA 30655-8211

Mailing address

517 Great Oaks Dr.
Ste 101
Monroe, GA 30655-8211
Phone (770) 267-4561

Other practice location 1

1080 Vend Dr Ste 100
Watkinsville, GA 30677-7751
Phone (706) 549-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071017000184 GA Part B Supplier - Clinic/Group Practice 8820184229 Receives reassigned benefits from 5 practitioners
Practice locations: Monroe, GA; Watkinsville, GA
O20100930091790 GA DME Supplier - Physician - Ophthalmology 8820184229 Practice locations: Monroe, GA

National Provider Directory

National Provider Directory

Locations

517 Great Oaks Dr
Ste 101
Monroe, GA 30655
Phone (770) 267-4561

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1891988465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 GREAT OAKS DR.",
            "address_2": "STE 101",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-4561",
            "fax_number": "770-267-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GREAT OAKS DR",
            "address_2": "STE 101",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558211",
            "telephone_number": "770-267-4561",
            "fax_number": "770-267-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Vend Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306777751",
            "country_code": "US",
            "telephone_number": "706-549-7047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALTON EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "TAMMARO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-267-4561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.