Terry L Walton Doctor of Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

UT003045-1 Issued in NY

Legal business name

TERRY L WALTON DOCTOR OF OPTOMETRY PC

Practice address

575 Glen St
Box 2071
Glens Falls, NY 12801-2243

Phone

(518) 792-0518

Fax

(518) 792-4739

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Terry L Walton, O.D.NPI 1437336088

Title

Owner / Optometrist

Phone

(518) 792-0518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ASSOCIATES IN VISION CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry L Walton, O.D.

  • Optometrist
  • Glens Falls, NY
  • NPI 1437336088
  Medicare reassignment Care Compare group NPD Authorized official
• Todd Walton, O.D.

  • Optometrist
  • Johnstown, NY
  • NPI 1174518583
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1972596369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 GLEN ST",
            "address_2": "BOX 2071",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012243",
            "telephone_number": "518-792-0518",
            "fax_number": "518-792-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 GLEN ST",
            "address_2": "BOX 2071",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012243",
            "telephone_number": "518-792-0518",
            "fax_number": "518-792-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L WALTON DOCTOR OF OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "518-792-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT003045-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02376218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES IN VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Tarello, M.D.
• Michelle Tavares, PMHNP-BC
• Ben Frazier Taylor, M.D., PH.D.
• Victoria Taylor, DMD
• William A Tedesco, M.D.
• Sara Tessitore Volkmann, NP
• The Eden Center for Integrative Care
• The Springs Aesthetic Plastic Surgery, P.C.
• Jennifer Leigh Theriot, M.D.
• Thomas J. Eigo, DDS, PC

• Optometrist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.