Walton, Terry L
Walton, Terry L is an individual health care provider with primary practice located at 575 Glen St , Glens Falls NY 12801-2243. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Walton, Terry L can be contacted via phone (518) 792-0518.Contact Information
Primary practice address
575 Glen St
Glens Falls NY 12801-2243
Phone: (518) 792-0518
Fax: (518) 792-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003045-1 | New York |
Profile Details
| NPI number | 1437336088 |
|---|---|
| LBN Legal business name | Walton, Terry L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2008 |
| Last updated | Apr 19th, 2012 - about 12 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 | 1437336088 | NPPES |
| New York | MEDICAID | 00406400 |
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