JOHN L WALTERS (OD) – Optometrist, NPI 1689670762

JOHN L WALTERS (OD) is a healthcare provider. based in Portland, Maine. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT817 (ME). The NPI Number for JOHN L WALTERS (OD) is 1689670762

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JOHN L WALTERS (OD)
NPI
1689670762
Phone
(207) 774-8277
Address
15 LOWELL ST
Enumeration Date
23 June 2005
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2077748277
Graduation Year
1997 (29 years ago)
PAC ID
8325070956
Group Practice PAC ID
0446240634
Professional Enrollment ID
I20050906000037
Address ID
ME041022726PO15XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

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Provider Addresses for JOHN L WALTERS (OD)

  • Maine Eye Center, 15, Lowell Street, Libbytown, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041022748

    Phone: (207) 774-8277

    Fax: (207) 699-5850

    Type: Mailing

  • 161 Marginal Way

    Portland, ME 041012438

    Phone: (207) 774-8277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $346.

Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($86).

Total Amount

$346

General + Research + Ownership

Payments

15

Total payment records

General Amount

$346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050906000037IOptometryMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system847671$0
92012Established patient problem focused exam of visual system238196$0
92133Imaging of optic nerve204185$0
92134Imaging of retina186164$0
92083Exam of visual field with extended testing137128$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446240634View full group profile
NameSpecialtyState
O P H T H A L M O L O G YME
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YME
O P T O M E T R YOH
O P H T H A L M O L O G YME
O P H T H A L M O L O G YME
-ME
O P T O M E T R YME
O P H T H A L M O L O G YME
O P H T H A L M O L O G YME

Reviews

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Frequently asked questions

Where can patients find JOHN L WALTERS (OD)'s NPI?
You can confirm JOHN L WALTERS (OD) with NPI 1689670762; it appears in the national provider directory.
Does this profile mean JOHN L WALTERS (OD) is currently active?
Yes — JOHN L WALTERS (OD) appears active in the national provider directory.
Does JOHN L WALTERS (OD) list a primary specialty?
If you are matching referrals, note Optometrist for JOHN L WALTERS (OD). Clinical services aligned with this taxonomy classification.
Does JOHN L WALTERS (OD) practice in Maine?
You will see Portland, Maine on file for JOHN L WALTERS (OD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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