Walker, Jade Madison
Walker, Jade Madison is an individual health care provider with primary practice located at 1800 Airpark Dr , Myrtle Beach SC 29577-1412. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Walker, Jade Madison can be contacted via phone (843) 477-0177.Contact Information
Primary practice address
1800 Airpark Dr
Myrtle Beach SC 29577-1412
Phone: (843) 477-0177
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1771 | South Carolina |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1771 | South Carolina |
Eye and Vision Services Providers / Optometrist | 152W00000X | 2369 | North Carolina |
Profile Details
NPI number | 1548607419 |
---|---|
LBN Legal business name | Walker, Jade Madison |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2013 |
Last updated | Jan 28th, 2022 - about 2 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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