DR. MICHAEL P. WALKER (NPI# 1033290895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033290895 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL P. WALKER |
| Credential | O.D. |
| Practice Address |
1039 Park Ave Meadville PA 16335-4324 |
| Practice Telephone | 8147242020 |
| Practice Fax Number | 8143371150 |
| Mailing Telephone | 8147242020 |
| Mailing Fax Number | 8143371150 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | NC1574 | NC | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OEG000830 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC LICENSE NUMBER | NC1574 | 01 |
| PA | UPMC NUMBER | 205057 | 01 |
| PA | NVA PROVIDER NUMBER | 391901 | 01 |
| PA | PA LICENSE NUMBER | OEG000830 | 01 |
| PA | VBA PROVIDER NUMBER | PA830 | 01 |
| PA | DEA NUMBER | MW0416619 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272611 | Michael David Walker | Registered Nurse | 140 Jennings Ave Apt 106, Knoxville, TN 37917-7158 | 2020-07-15 |
| 1699330332 | Michael Walker | Private Vehicle | 5020 Ne 7th St, Ocala, FL 34470-1144 | 2019-05-08 |
| 1013497023 | Michael Earl Walker | Private Vehicle | 513 E 3rd St, Leland, MS 38756-2803 | 2018-08-19 |
| 1053806026 | Michael Anthony Walker II | Specialist/Technologist | 10899 Sw 4th St # 523b, Miami, FL 33174-4402 | 2018-06-22 |
| 1194250225 | Michael Walker | Physical Therapy Assistant | 4801 Ne 13th St, Ocala, FL 34470-2103 | 2017-04-26 |
| 1083003735 | Michael Walker | Dietitian, Registered | 314 Pleasant Pl, Teaneck, NJ 07666-3230 | 2015-01-19 |
| 1013318658 | Michael Walker | Specialist/Technologist | 913 Penny Ln, Sycamore, IL 60178-1250 | 2014-09-15 |
| 1982034625 | Michael Walker | Counselor | 828 Stormy Ln, Jonesboro, GA 30238-5984 | 2013-11-16 |
| 1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
| 1154553212 | Michael Douglas Walker | Physician Assistant | 19771 Coal Heritage Rd, Welch, WV 24801-9825 | 2009-08-21 |
| Street Address |
1039 PARK AVE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915140 | Goss Eye Care, LLC | Eyewear Supplier (Equipment, not the service) | 1039 Park Ave, Meadville, PA 16335-4324 | 2017-11-10 |
| 1194130724 | Sara Goss | Optometrist | 1039 Park Ave, Meadville, PA 16335-4324 | 2014-06-23 |
| 1902047053 | Crawford Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 1039 Park Ave, Meadville, PA 16335-4324 | 2009-03-19 |
| 1124268198 | Crawford Eye Associates Inc | Clinic/Center | 1039 Park Ave, Meadville, PA 16335-4324 | 2009-03-03 |
| 1790961217 | Michael P. Walker, O.d. | Eyewear Supplier (Equipment, not the service) | 1039 Park Ave, Meadville, PA 16335-4324 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316245590 | French Creek Eyecare, LLC | Optometrist | 424 North Street, Meadville, PA 16335-2572 | 2011-03-11 |
| 1477627727 | Christopher L Adsit | Optometrist | 1073 S Main St, Meadville, PA 16335-3129 | 2006-11-20 |
| 1336165083 | Joseph John Sowansky Jr. | Optometrist | 16039 Conneaut Lake Rd, Suite 107, Meadville, PA 16335-3859 | 2006-07-14 |
| 1063476166 | John C Alexander | Optometrist | 830 Market St, Meadville, PA 16335-3314 | 2006-04-14 |
| 1184690117 | Gregory A Griffith | Optometrist | 424 North St, Meadville, PA 16335-2572 | 2006-02-28 |
| 1740760875 | Sarah Jaslyn Myles | Optometrist | 830 Market St, Meadville, PA 16335-3314 | 2018-08-17 |
| 1467967794 | Vision Source Meadville LLC | Optometrist | 1073 S Main St, Meadville, PA 16335-3129 | 2017-12-08 |
| 1194130724 | Sara Goss | Optometrist | 1039 Park Ave, Meadville, PA 16335-4324 | 2014-06-23 |
| 1134475007 | Vision Source Meadville, LLC | Optometrist | 1073 S Main St, Meadville, PA 16335-3129 | 2012-07-30 |
| 1912210527 | Dustin Joel Mitchell | Optometrist | 1073 S Main St, Meadville, PA 16335 | 2010-07-24 |
| Find all providers in MEADVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.