Walker, Donald

Walker, Donald is an sole proprietor health care provider with primary practice located at 6823 Pines Rd Suite B, Shreveport LA 71129-5205. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Walker, Donald can be contacted via phone (318) 688-3050.

Contact Information

Primary practice address
6823 Pines Rd Suite B Shreveport LA 71129-5205
Fax: (318) 688-3233
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 809097T Louisiana
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 152W00000X Louisiana

Profile Details

NPI number 1386639110
LBN Legal business name Walker, Donald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Dec 16th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386639110 NPPES
Louisiana MEDICAID 1342696

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