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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437336088 NPPES
New York MEDICAID 00406400

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