Physician Compare National (NPI:1497892996)

HEALTHCARE PROVIDER: RICHARD NATHANIEL WALKER D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497892996
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082706684
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080728000021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALKER
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	RANDOLPH EYECARE CENTER PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769586700
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	477 ROUTE 10 E
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	RANDOLPH
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	078692143
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9733281311
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y