Dawn K Walt is a Optometrist in Coopersville, Michigan. Dawn K Walt practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dawn K Walt is 1639210164. The last update date is 2008-04-29.
Dawn K Walt's current location address is 692 W Randall St, Coopersville, Michigan. You can contact this provider via phone number 6168376847 and fax number 6168379338. The mailing address for Dawn K Walt is 692 W Randall St, Coopersville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn K Walt |
|---|---|
| Address | 692 W Randall St, Coopersville, Michigan |
| Phone Number | 6168376847 |
| Fax Number | 6168379338 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1639210164 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 692 W Randall St |
|---|---|
| City | Coopersville |
| State | Michigan (MI) |
| Post Code | 494041306 |
| Phone Number | 6168376847 |
| Fax Number | 6168379338 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002956 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900G065080 | MI | BCBS | |
| P00109551 | MI | RR MEDICARE |
Post Comment/ Review Below
What is the Dawn K Walt's 1639210164?
The Dawn K Walt's NPI (National Provider Identifier) Number is 1639210164. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dawn K Walt is located?
The Dawn K Walt is situated at the following address: 692 W Randall St, Coopersville, MI, 494041306.
What is Dawn K Walt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dawn K Walt is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did Dawn K Walt receive its 1639210164 assignment?
The Dawn K Walt was assigned its 1639210164 on 2007-02-09, which is the date when this unique identifier was issued to the organization.
As of what date were the Dawn K Walt's details last updated?
The information pertaining to the Dawn K Walt, including its address, specialty, and other details, was most recently updated on 2008-04-29.