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Deactivated NPI 1528069234 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin Roger Walker , OD

Optometrist • King, NC

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Walker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~12 Years of Practice (1994 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Walker, OD was a registered Optometrist in King, NC. Prior to record deactivation on 2006-03-22, Dr. Walker completed approximately 12 years of clinical practice following graduation from Pennsylvania College Of Optometry in 1994.

Dr. Walker was affiliated with Eyecarecenter Od Pa and accepted Medicare assignment.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, established patient complete exam of visual system, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

215 Moore Rd

King, NC 270218703

Telephone 3369852020
Fax 3369852133
Associated Practice Facility / Clinic
🏢 Doctors Vision Center Od Pa Facility NPI 1578511515

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in King, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +21.2 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
7 Specialists

Practicing in King, NC (1531 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walker (32 Years) 32 Yrs
King Specialty Average (10.8 Years) 10.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
1,234 12 $9.95 $1.12
92014 Established patient complete exam of visual system
155 155 $165.00 $117.49
92083 Exam of visual field with extended testing
32 25 $116.76 $58.72
92004 New patient complete exam of visual system
31 31 $199.00 $139.33
92133 Imaging of optic nerve
30 24 $70.84 $31.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $210.78 $120.27
92012 Established patient problem focused exam of visual system
12 12 $142.01 $82.84

Medical Specialties & State Licenses

CMS Verified: 2020-06-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NC 1560

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7909939 (NC)
Commercial Insurance / Payer ID Railroad Medicare
410041919 (NC)
Commercial Insurance / Payer ID Bcbs Prov #
093GR (NC)
Commercial Insurance / Payer ID Anthem Bcbs-King Prov #
268250 (NC)

Hospital & Practice Group Affiliations

Eyecarecenter Od Pa

200 W Academy St, Randleman, NC 273171504

Phone: 3364953937

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902454937

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 02, 2020

Registered at PO BOX 207261, DALLAS, TX 753207261 (Tel: 6362004393)

📍
Updated Practice Location March 16, 2012

Registered at 215 MOORE RD, KING, NC 270218703 (Tel: 3369852020)

📍
Updated Business Mailing Address March 16, 2012

Registered at PO BOX 949, KING, NC 270210949 (Tel: 3369852020)

👤
Provider Name / Credentials Updated March 16, 2012

Recorded as KEVIN WALKER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2012

Optometrist (License #1560 in NC)

🔄
NPI Profile Reactivated April 11, 2006

Record officially reactivated for active practice on April 11, 2006

⚠️
NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢
Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528069234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: June 02, 2020
Deactivation Date: March 22, 2006
Sole Proprietor: No

Mailing Address

Po Box 207261

Dallas, TX 753207261

Phone: 6362004393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.