Healthcare Provider Details

I. General information

NPI: 1851730246
Provider Name (Legal Business Name): ERIC S. WALKER O.D. AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 TRINITY POINT DR
WASHINGTON PA
15301-2974
US

IV. Provider business mailing address

1026 LAKESIDE DR
MC DONALD PA
15057-3055
US

V. Phone/Fax

Practice location:
  • Phone: 724-229-7769
  • Fax: 724-229-7792
Mailing address:
  • Phone: 724-229-7769
  • Fax: 724-229-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001608
License Number StatePA

VIII. Authorized Official

Name: DR. ERIC WALKER
Title or Position: O.D.
Credential:
Phone: 724-229-7769