Individual
DR. JESSICA S WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
Mailing address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2206DT
KY
152W00000X
Optometrist
4901005145
MI
152W00000X
Optometrist
Primary
5381
MA
152WC0802X
Corneal and Contact Management Optometrist
2206DT
KY
Other
Enumeration date
07/19/2018
Last updated
03/24/2026
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