Individual
DIANE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451
Mailing address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09984
BLUE CROSS/BLUE SHIELD
NC
01
—
2270852
UNITED HEALTH CARE
NC
01
—
246551
RAILROAD MEDICARE
NC
05
—
8909987
—
NC
Enumeration date
08/31/2006
Last updated
02/07/2008
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