Ball, Walter Lee
Ball, Walter Lee is an sole proprietor health care provider with primary practice located at 7500 Centurion Parkway Suite 100 Dacaf, Jacksonville FL 32256-0517. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ball, Walter Lee can be contacted via phone (904) 443-1383.Contact Information
Primary practice address
7500 Centurion Parkway Suite 100 Dacaf
Jacksonville FL 32256-0517
Phone: (904) 443-1383
Fax: (904) 928-5805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4348 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3639 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2141 | North Carolina |
Profile Details
| NPI number | 1811997752 |
|---|---|
| LBN Legal business name | Ball, Walter Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Apr 13th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811997752 | NPPES |
| Massachusetts | MEDICAID | 0323471 |
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