Healthcare Provider Details

I. General information

NPI: 1619886322
Provider Name (Legal Business Name): LAURA C.WALSH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2395 YORK RD STE 12
JAMISON PA
18929-1071
US

IV. Provider business mailing address

1917 WOODFIELD DR
JAMISON PA
18929-1442
US

V. Phone/Fax

Practice location:
  • Phone: 215-692-3838
  • Fax: 267-483-8779
Mailing address:
  • Phone: 215-692-3838
  • Fax: 267-483-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: LAURA CHRISTINE WALSH
Title or Position: OPTOMETRIST
Credential: OD
Phone: 215-692-3838