Individual provider Active NPI

Otis Bennett Walton IV, MD

  • Ophthalmology Physician
  • Bellaire, TX
National Provider Identifier
1942591839
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q4543 Issued in TX
Practice address
6800 West Loop South
Ste 400/450
Bellaire, TX 77401-4528
Phone
(281) 944-8020
Fax
(281) 849-7505
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q4543 TX Primary

Addresses

Primary practice location

6800 West Loop South
Ste 400/450
Bellaire, TX 77401-4528

Mailing address

6800 West Loop South
Ste 400/450
Bellaire, TX 77401-4528
Phone (281) 944-8020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827001377 TX Practitioner - Ophthalmology 1153637764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steel String Vision PLLCGroup PAC ID 3870941222, 2 clinicians

Practice addresses (Care Compare)

6800 W Loop S
Suite 450
Bellaire, TX 77401-4595
Phone (713) 893-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4543TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steel String Vision PLLC Ophthalmology CurrentSince Jan 21, 2021 Accepting new patients

Locations

6800 West Loop S
Ste 450
Bellaire, TX 77401
Phone (713) 893-2020

6800 West Loop S
Ste 400450
Bellaire, TX 77401
Phone (281) 944-8020

Organizations & group practices 1

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1942591839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP SOUTH",
            "address_2": "STE 400/450",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014528",
            "telephone_number": "281-944-8020",
            "fax_number": "281-849-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP SOUTH",
            "address_2": "STE 400/450",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014528",
            "telephone_number": "281-944-8020",
            "fax_number": "281-849-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "OTIS",
        "middle_name": "BENNETT",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q4543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.