# JOHN WALTON OD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881932309
- **Authorized official:** DR. JOHN FREDERICK WALTON OD (PRESIDENT)
- **Authorized official phone:** (812) 322-5385

## Contact information

- **Practice address:** 3200 JOHN WILLIAMS BLVD, BEDFORD, IN 47421-9153
- **Practice address phone:** (812) 277-1275
- **Practice address fax:** (812) 323-7653
- **Mailing address:** 3028 E DANIEL ST, BLOOMINGTON, IN 47401-4391
- **Mailing address phone:** (812) 323-7666
- **Mailing address fax:** (812) 323-7653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | IN18001851A & B | IN | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 01/17/2013