Healthcare Provider Details

I. General information

NPI: 1477347359
Provider Name (Legal Business Name): ANNA WALKER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22023 STATE ROAD 7 STE 102
BOCA RATON FL
33428-3401
US

IV. Provider business mailing address

9434 FOX TROT LN
BOCA RATON FL
33496-4104
US

V. Phone/Fax

Practice location:
  • Phone: 561-451-0655
  • Fax: 561-451-2660
Mailing address:
  • Phone: 339-364-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6742
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: