MEDICARE: DR. CHRISTINA HICKLE 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
1	152W00000X	Optometrist	5213/T2117	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1972509586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA HICKLE WALKER O.D.

Provider Business Mailing Address
First Line	:	337 HARDING WAY W
Second Line	:
City	:	GALION
State	:	OH
Zip	:	44833-1725
Country	:	US
Telephone Number	:	419-468-3355
Fax Number	:	419-468-7475

Provider Business Practice Location Address
First Line	:	337 HARDING WAY W
Second Line	:
City	:	GALION
State	:	OH
Zip	:	44833-1725
Country	:	US
Telephone Number	:	419-468-3355
Fax Number	:	419-468-7475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	11/29/2011

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