Walters, Gary Bryan

Walters, Gary Bryan is an sole proprietor health care provider with primary practice located at W62N221 Washington Ave , Cedarburg WI 53012-2726. He 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 his primary health care specialty. Walters, Gary Bryan can be contacted via phone (262) 377-9686.

Contact Information

Primary practice address
W62N221 Washington Ave Cedarburg WI 53012-2726
Fax: (262) 377-8462
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1704 Wisconsin
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1704 Wisconsin

Profile Details

NPI number 1285763060
LBN Legal business name Walters, Gary Bryan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Apr 2nd, 2008 - about 16 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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