TERRY WILLIAM WALKER (OD) – Optometrist, NPI 1710906219

TERRY WILLIAM WALKER (OD) is a healthcare provider. based in Crestline, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5249 (OH). The NPI Number for TERRY WILLIAM WALKER (OD) is 1710906219

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
TERRY WILLIAM WALKER (OD)
NPI
1710906219
Phone
(419) 462-4556
Address
330 N SELTZER ST
Enumeration Date
18 July 2006
Last Update Date
2 August 2011

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4194680505
Graduation Year
2001 (25 years ago)
PAC ID
8729139035
Group Practice PAC ID
5496737439
Professional Enrollment ID
I20090626000362
Address ID
OH448271400CR385XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for TERRY WILLIAM WALKER (OD)

  • 330, North Seltzer Street, Downtown, Crestline, Crawford County, Ohio, 44827, United States

    CRESTLINE, OH 448271403

    Phone: (419) 462-4556

    Fax: (419) 462-4557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
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: 2009-06-26

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
I20090626000362IOptometryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44827)

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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: 5496737439View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
Nurse PractitionerOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Physician AssistantOH
Internal Medicine, Pediatric MedicineOH
-OH

Reviews

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Frequently asked questions

What number should I use to identify TERRY WILLIAM WALKER (OD) for billing?
Administrative and clinical systems typically use NPI 1710906219 for TERRY WILLIAM WALKER (OD).
Is TERRY WILLIAM WALKER (OD)'s NPI status active today?
Active status means TERRY WILLIAM WALKER (OD)'s NPI record is not deactivated in the public file.
What services align with TERRY WILLIAM WALKER (OD)'s listing?
TERRY WILLIAM WALKER (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to TERRY WILLIAM WALKER (OD)?
TERRY WILLIAM WALKER (OD) shows a connection to Crestline, Ohio in registry-derived data.
Can I export TERRY WILLIAM WALKER (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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