Douglas John Walker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR 2740-AT Issued in OR

Practice address

937 Chetco Ave Ste K 4005
Brookings, OR 97415

Phone

(541) 469-6923

Fax

(541) 469-6769

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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 OR

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

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of Brookings LLCGroup PAC ID 7113911595, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eye Center of Brookings, LLC

  • Optometrist
  • Brookings, OR
  • NPI 1912010596
  Medicare reassignment Care Compare group Authorized official
• Curry Eye Centers, Inc.

  • Optometrist
  • Gold Beach, OR
  • NPI 1548390206
  NPD (past)
• John H Hunts MD PHD LLC

  • Medical Specialty Clinic/Center
  • Eugene, OR
  • NPI 1053556019
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1902806375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 CHETCO AVE STE K4005",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150228",
            "telephone_number": "541-469-6923",
            "fax_number": "541-469-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 CHETCO AVE STE K 4005",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-469-6923",
            "fax_number": "541-469-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR 2740-AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083170",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "R113489",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Vanrheenen
• Vincent Van Houten, O.D., PC
• Visana Wellness, LLC
• Amy Ray Vossler
• Donald William Walker, MBA, FNP-C, GNP
• Warren J Krick MD PC
• Nicole Watkins-Murphy
• Rachel Watkins, PTA
• Nancy Webb
• Sheri Louise Webster

• Optometrist in Brookings, OR
• Providers in Brookings, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.