Individual
DR. MICHAEL P. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1039 PARK AVE, MEADVILLE, PA 16335-4324
(814) 724-2020
(814) 337-1150
Mailing address
1039 PARK AVE, MEADVILLE, PA 16335-4324
(814) 724-2020
(814) 337-1150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
NC1574
NC
152W00000X
Optometrist
Primary
OEG000830
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205057
UPMC NUMBER
PA
01
—
391901
NVA PROVIDER NUMBER
PA
01
—
NC1574
NC LICENSE NUMBER
NC
01
—
OEG000830
PA LICENSE NUMBER
PA
01
—
PA830
VBA PROVIDER NUMBER
PA
Enumeration date
10/18/2006
Last updated
03/07/2023
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