MARY KATHRYN WALTERS OD
NPI 1841805645
Optometrist in Fort Worth, TX
About Mary Kathryn Walters Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHRYN WALTERS OD (NPI 1841805645) is an individual optometrist in Fort Worth, Texas, licensed in Texas (10075) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern College Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Kathryn Walters Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brenham, TX 77833
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Walters's NPI number?
The NPI number for Mary Walters is 1841805645. It was assigned to this individual provider in the NPPES registry on September 9, 2020. The provider is also known as Mary Kathryn Sain Od.
Where is Mary Walters located?
Mary Walters practices at 2332 Beverly Hills Dr, Fort Worth, TX 76114. The listed phone number is (817) 625-4254.
What is Mary Walters's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mary Walters enrolled in Medicare?
Yes. Mary Walters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Walters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Walters reassigns Medicare benefits to Brenham Eye Associates PLLC (Brenham, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Walters accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Mary Walters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Walters was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Kathryn Walters, OD · NPI 1841805645
Optometrist provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since September 9, 2020.
## Identity
- **NPI:** 1841805645 (Entity type: Individual)
- **Enumerated:** September 9, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 10075 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2332 BEVERLY HILLS DR, Fort Worth, TX 76114-1756
- **Phone:** (817) 625-4254 · **Fax:** (817) 378-0861
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Brenham Eye Associates PLLC (NPI 1962289603, Brenham, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** May 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841805645) · Data from the CMS NPPES public registry.