JOHN L WALTERS (NPI# 1689670762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689670762 |
| Entity Type | Individual |
| Full Name | JOHN L WALTERS |
| Credential | OD |
| Practice Address |
15 Lowell St Portland ME 04102-2748 |
| Practice Telephone | 2077748277 |
| Practice Fax Number | 2076995850 |
| Mailing Telephone | 2077748277 |
| Mailing Fax Number | 2076995850 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT817 | ME | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 253720099 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 Marginal Way, Portland, ME 041012438 | 2077748277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437596590 | John Ross Walters | Specialist/Technologist | 313 Fountain St, Akron, OH 44306-1014 | 2013-05-30 |
| 1114065638 | John Walters | Specialist/Technologist | 2346 Westbank Rd, Toledo, OH 43614-3174 | 2007-02-05 |
| 1326073339 | John F Walters | Emergency Medicine | 730 Stony Landing Road, Moncks Corner, SC 29461 | 2006-07-11 |
| 1164405783 | John Robert Walters | Family Medicine | 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | 2005-11-29 |
| 1932488426 | John L Walters | Social Worker | 134 W 1180 N, Suite 4, Tooele, UT 84074-1483 | 2011-08-15 |
| 1144480294 | John Sexton Walters | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-06-12 |
| 1316157191 | John Brandon Walters | Family Medicine | 29101 Health Campus Dr, Suite 400, Westlake, OH 44145-5270 | 2007-05-23 |
| 1427266337 | John F Walters | Counselor | Rr 1 Box 75, New Albany, PA 18833-9730 | 2007-05-21 |
| 1124169511 | John R Walters | Ophthalmology | 340 W Butler St, Lexington, SC 29072-2606 | 2007-02-09 |
| 1194809897 | John Douglas Walters | Dentist | 305 W 12th Ave, Dental Faculty Practice Association Inc, Columbus, OH 43210-1267 | 2006-10-25 |
| Street Address |
15 LOWELL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529564 | Robert S Cady | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-22 |
| 1982106548 | Boston Ocular Prosthetics Inc | Technician/Technologist | 15 Lowell St, Portland, ME 04102-2726 | 2018-02-28 |
| 1952718413 | Holly Knight Mccarthy | Optometrist | 15 Lowell St, Portland, ME 04102-2726 | 2014-07-16 |
| 1578822094 | Brynn N Wajda | Ophthalmology | 15 Lowell St, Portland, ME 04102-2726 | 2012-05-04 |
| 1295906931 | Brooke E Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2726 | 2008-03-21 |
| 1346445632 | Jennifer Lynn Garvey | Specialist | 15 Lowell St, Portland, ME 04102-2726 | 2007-06-18 |
| 1699893784 | Maine Eye Center, Pa | Durable Medical Equipment & Medical Supplies | 15 Lowell St, Portland, ME 04102-2726 | 2007-03-27 |
| 1720044878 | Maine Eye Center, Pa | Optometrist | 15 Lowell St, Portland, ME 04102-2776 | 2006-04-25 |
| 1275534489 | Curtis Mackay Libby | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-08-10 |
| 1376549402 | Frederick S Miller | Ophthalmology | 15 Lowell St, Portland, ME 04102-2748 | 2005-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| 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 |
|---|---|---|---|---|
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1407416225 | Sarah Fowler | Optometrist | 605 S Broadway St, Portland, TN 37148-1619 | 2019-06-14 |
| 1720645302 | Ryan Steve Kucala | Optometrist | 520 Nw Lost Springs Ter # Unite203, Portland, OR 97229-6655 | 2019-05-20 |
| 1023575925 | Pacific Eye Group, PC | Optometrist | 1006 Lloyd Ctr, Portland, OR 97232-1266 | 2019-02-27 |
| 1811472749 | Carole Tong | Optometrist | 8136 Se Foster Rd Ste 260, Portland, OR 97206-4288 | 2018-09-26 |
| 1528580354 | Dr. Han Tran & Associates, P.C. | Optometrist | 12100 Se 82nd Ave, Portland, OR 97086-7755 | 2017-07-13 |
| 1306384128 | Daniel & Max, LLC | Optometrist | 8795 Sw Scholls Ferry Rd, Portland, OR 97223-4409 | 2017-02-01 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| Find all providers in PORTLAND | ||||
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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.