Jeffrey Scott Walter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002090 Issued in PA

Practice address

300 Bretz CT Ste 200
Newport, PA 17074-8616

Phone

(717) 567-3103

Fax

(717) 567-7784

NPI assigned

Nov 19, 2008

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sisson - Boyer Eyecare, LLCGroup PAC ID 3173716826, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.86 of 100Reported as group

Quality

59.73

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Sisson - Boyer Eyecare, LLC

  • Optometrist
  • Newport, PA
  • NPI 1376877704
  Medicare reassignment Care Compare group NPD
• Mid South Vision Center PLLC

  • Optometrist
  • Bartlett, TN
  • NPI 1831358068
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1972758837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 200",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748616",
            "telephone_number": "717-567-3103",
            "fax_number": "717-567-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 200",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748616",
            "telephone_number": "717-567-3103",
            "fax_number": "717-567-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Tanner, D.O.
• Michael Andrew Thieblemont, MD
• David Phillip Tomaszewski
• Thomas Emil Tomcanin Jr., PHARM. D.
• Jacquelyn R Truance, PHARMD
• Weis Markets Inc (Weis Pharmacy)
• Welfley Pharmacy Inc
• William Reynolds Sisson
• Michael Xavier Williams
• Robert Anthony Wilson, RPH

• Optometrist in Newport, PA
• Providers in Newport, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.