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Organization
MEREDITH WALTON OD, OPTOMETRIC CORPORATION
Active
Organization
MEREDITH WALTON OD, OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH GRACE WALTON OD (PRESIDENT)
(619) 431-5393
Entity
Organization
Contact information
Practice address
3404 ADAMS AVE, SAN DIEGO, CA 92116-2428
Mailing address
3404 ADAMS AVE, SAN DIEGO, CA 92116-2428
(619) 431-5393
(619) 432-0036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14770TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033513742
NPI INDIVIDUAL
—
Enumeration date
07/03/2017
Last updated
07/23/2024
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