DR. JADE MADISON WALKER (NPI# 1548607419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548607419 |
| Entity Type | Individual |
| Full Name | DR. JADE MADISON WALKER |
| Credential | O.D. |
| Practice Address |
1101 Johnson Ave Ste 101 Myrtle Beach SC 29577-1893 |
| Practice Telephone | 8434770177 |
| Mailing Telephone | 8434770177 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2369 | NC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1771 | SC | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1771 | SC | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176103 | Jade Marie Walker | Student in an Organized Health Care Education/Training Program | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-08-24 |
| 1871046052 | Jade Walker | Behavior Technician | 505 Oberlin Rd, Suite 230, Raleigh, NC 27605-1327 | 2016-07-25 |
| 1568614485 | Jade Covenia Walker | Occupational Therapist | 2170 Rhine St, Pittsburgh, PA 15212-3569 | 2008-10-22 |
| Street Address |
1101 JOHNSON AVE STE 101 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| 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 |
|---|---|---|---|---|
| 1891246823 | Surge Eye Associates, LLC | Optometrist | 240 Lands End Blvd, Myrtle Beach, SC 29572-7054 | 2016-10-14 |
| 1306229729 | Cynthia Collins | Optometrist | 4225 Carolina Exchange Dr Ste A, Myrtle Beach, SC 29579-4221 | 2015-07-02 |
| 1962884684 | Meghan Loher | Optometrist | 2000 Coastal Grand Cir Spc C330, Myrtle Beach, SC 29577-9798 | 2015-06-19 |
| 1720211543 | Merhi Eye Clinic | Optometrist | 10820 North Kings Highway, Suite 1, Myrtle Beach, SC 29572 | 2009-08-27 |
| 1598984718 | Visioin Care P.a. | Optometrist | 1240 21 Avenue North, Suite1a, Myrtle Beach, SC 29577 | 2007-04-25 |
| 1740406214 | Lawrence Raymond Custer | Optometrist | 1512 Coastal Grand Cir, C330, Myrtle Beach, SC 29577-0015 | 2007-04-17 |
| 1912021759 | Siegmund Eye Care Pa | Optometrist | 4278 River Oaks Dr, Myrtle Beach, SC 29579-5603 | 2007-03-19 |
| 1780728824 | Coastal Grand Eye Associates Ltd. Co. | Optometrist | 1512 Coastal Grand Circle, C 330, Myrtle Beach, SC 29577-9779 | 2007-02-19 |
| 1073675690 | Jason Siegmund | Optometrist | 540 Seaboard St, Myrtle Beach, SC 29577 | 2006-12-14 |
| 1730240151 | Lauri B. Graham | Optometrist | 1206 Moser Dr, The Market Common, Myrtle Beach, SC 29577-1575 | 2006-12-12 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.