Individual
OLIVIA S. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 S MAIN ST, SALEM, IN 47167-1040
(812) 883-2700
(812) 883-2752
Mailing address
600 S MAIN ST, SALEM, IN 47167-1040
(812) 883-2700
(812) 883-2752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004026A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18004026A
IN LICENSE
IN
01
—
22139003
INDIANA MEDICARE
IN
05
—
300003562
—
IN
Enumeration date
06/05/2017
Last updated
07/21/2022
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