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NPI Code Detail

MEDICARE: JAMES MICHAEL WALSH OD

MEDICARE: JAMES MICHAEL WALSH OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC5880FL

General Provider Information

NPI Number : 1265094551
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MICHAEL WALSH OD
Provider Business Mailing Address
First Line : 1717 W WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6319
Country : US
Telephone Number : 561-737-5500
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6319
Country : US
Telephone Number : 561-737-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2019
Last Update Date : 01/15/2026

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