George W Walters, Jr in Bolivar - Corneal And Contact Management
George W Walters, Jr - NPI 1134142094
George W Walters, Jr is a Corneal And Contact Management in Bolivar, Tennessee. George W Walters, Jr practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for George W Walters, Jr is 1134142094. The last update date is 2008-01-15.
George W Walters, Jr's current location address is Po Box C, Bolivar, Tennessee. You can contact this provider via phone number 7316585197 and fax number 7316585245. The mailing address for George W Walters, Jr is Po Box C, Bolivar, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George W Walters, Jr |
|---|---|
| Address | Po Box C, Bolivar, Tennessee |
| Phone Number | 7316585197 |
| Fax Number | 7316585245 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1134142094 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2008-01-15 |
Provider Mailing Address Detail
| Address | Po Box C |
|---|---|
| City | Bolivar |
| State | Tennessee (TN) |
| Post Code | 380080391 |
| Phone Number | 7316585197 |
| Fax Number | 7316585245 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | OD0000000654 |
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Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3594030 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to George W Walters, Jr?
The George W Walters, Jr has been issued the NPI (National Provider Identifier) 1134142094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the George W Walters, Jr's physical address?
The George W Walters, Jr is physically located at Po Box C, in the city of Bolivar, TN, with the postal code 380080391.
What is George W Walters, Jr's specialized field of practice, and what is the corresponding taxonomy classification code?
The George W Walters, Jr's area of specialization is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this field of practice is 152Wc0802X.
On what date did the George W Walters, Jr receive the assignment of its 1134142094 from the Centers for Medicare & Medicaid Services?
The George W Walters, Jr was issued its 1134142094 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details related to George W Walters, Jr most recently updated or revised?
The information pertaining to George W Walters, Jr, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-15.
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