Christopher T Walls (NPI# 1215951314, PAC ID# 7517852650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1215951314 |
| PAC ID by PECOS | 7517852650 |
| Professional Enrollment ID | I20040219000086 |
| Full Name | Christopher T Walls |
| Organization Legal Name | 20-20 EYECARE OF GRENADA PA |
| Address |
600 Old Hickory Rd Grenada MS 38901-2727 |
| Phone Number | 6622267010 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4981861366 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 Old Hickory Rd, Grenada, MS 38901-2727 | 6622267010 | 20-20 EYECARE OF GRENADA PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | 20-20 EYECARE OF GRENADA PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Pegg | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Street Address |
600 OLD HICKORY RD |
| City | GRENADA |
| State | MS |
| Zip | 38901-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Pegg | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Hildebrand | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Sandra Melton | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Benjamin Clayton Edwards | Physical Therapy | Encore Rehabilitation Inc | 1322 Sunset Dr C, Grenada, MS 38901-4000 |
| Harvey Mack Ballard | Chiropractic | Ballard Chiropractic | 1301 I Sunset Dr, Grenada, MS 38901-4003 |
| Tara L Dew | Optometry | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Thomas K Braswell | Ophthalmology | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Justin Corey Zampella | Optometry | Bruce Eye Clinic Inc. | 1655 Sunset Dr, Grenada, MS 38901-4061 |
| Joseph F Roberts | Internal Medicine | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 | |
| James Stanford | Family Medicine | Stanford Medical Inc | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 |
| Jessica H Alldread | Nurse Practitioner | Stanford Medical Inc | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 |
| Find all physicians in zip 38901 | |||
| City | GRENADA |
| Zip Code | 38901 |
| Specialty | OPTOMETRY |
| City + Specialty | GRENADA + OPTOMETRY |
Please comment or provide details below to improve the information on Christopher T Walls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.