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DR. JESSICA YANG WALIA MD NPI 1134625627


NPI Information

NPI: 1134625627
Provider Name: DR. JESSICA YANG WALIA, MD
Classification: Ophthalmology - 207WX0120X
Entity Type: Individual

Specialization: Cornea and External Diseases Specialist

PECOS Registration: Yes

Address:
4901 FOREST PARK AVE
DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-3937
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DR. Jessica Yang Walia, MD is a cornea and external diseases specialist ophthalmology in Saint Louis, MO with 6 years of experience. The provider is an ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. DR. Jessica Yang Walia, MD NPI is 1134625627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2018

The provider's business location address is:

4901 FOREST PARK AVE
DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 362-3937
Fax: (314) 362-3725

The NPI 1134625627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0120XOphthalmologyCornea and External Diseases Specialist2022016366MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200109579MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.