Individual
DR. TODD WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
234 N PERRY ST, JOHNSTOWN, NY 12095-1721
(518) 762-8375
Mailing address
234 N PERRY ST, JOHNSTOWN, NY 12095-1721
(518) 762-8375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02376185
—
NY
Enumeration date
09/13/2005
Last updated
07/08/2007
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