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Deactivated NPI 1811225311 Deactivated / Inactive NPI Male Practitioner

Phillip Ray Walden , OPTICIAN

Technician/Technologist - Optician • Georgetown, TX

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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, Phillip Walden has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 23, 2009
NPI Deactivation Date February 13, 2017
Total Practice Duration ~8 Years of Practice (2009 – 2017)

Professional Overview & Biography Verified Profile Summary

Phillip Walden, OPTICIAN was a registered Technician/Technologist - Optician practicing in Georgetown, TX. Throughout an active medical career spanning 8 years, Phillip Walden provided care at the practice location at 3010 WILLIAMS DR until profile deactivation on 2017-02-13.

Practice Location & Contact Primary Location

Practice Address

3010 Williams Dr
#168

Georgetown, TX 786282764

Telephone 5126305662
Associated Practice Facility / Clinic
🏢 San Gabriel Chiropractic Pa Facility NPI 1346463916

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Georgetown, TX (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Anne Wilkerson , MD

Dermatology - Dermatopathology

NPI 1245274331

Doctor of Medicine (M.D.)

Xiaohui Xu

Registered Nurse - Nurse Massage Therapist (NMT)

NPI 1801607270
Gilberto Saenz , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1811088305

PHYSICIANASSISTANT

Abigail Mcreynolds , PA-C

Physician Assistant

NPI 1821230939

Physician Assistant (Certified)

Amara Sayed

Dermatology

NPI 1831215763
NPI 1932262433

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 13, 2017

Record deactivated on February 13, 2017

NPI Profile Active November 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2009

Registered at 3010 WILLIAMS DR, #168, GEORGETOWN, TX 786282764 (Tel: 5126305662)

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Updated Business Mailing Address November 23, 2009

Registered at 3010 WILLIAMS DR, #168, GEORGETOWN, TX 786282764 (Tel: 5126305662)

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Provider Name / Credentials Updated November 23, 2009

Recorded as PHILLIP WALDEN, OPTICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2009

Technician/Technologist

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Initial NPI Registration & Enumeration November 23, 2009

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: 1811225311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2009
Last Update: November 23, 2009
Deactivation Date: February 13, 2017

Mailing Address

3010 Williams Dr, #168

Georgetown, TX 786282764

Phone: 5126305662

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.