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NPI Code Detail

MEDICARE: DR. ERIC Y WALKER O.D.

MEDICARE:  DR. ERIC Y WALKER  O.D.
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
1152W00000XOptometristTA1000MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00173954OTHERMDRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15044760001OTHERMDDMEPOS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518961598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC Y WALKER O.D.
Provider Business Mailing Address
First Line : 5310 OLD COURT RD
Second Line : STE 103
City : RANDALLSTOWN
State : MD
Zip : 21133-5281
Country : US
Telephone Number : 410-922-2020
Fax Number : 410-922-3867
Provider Business Practice Location Address
First Line : 5310 OLD COURT RD
Second Line : STE 103
City : RANDALLSTOWN
State : MD
Zip : 21133-5281
Country : US
Telephone Number : 410-922-2020
Fax Number : 410-922-3867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC Y WALKER O.D.” Practice Location

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