Organization
JAMES P. WALSH O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. WALSH O.D. (MANAGING MEMBER)
(217) 698-3426
Entity
Organization
Contact information
Practice address
2300 W WHITE OAKS DR, SAM'S CLUB OPTICAL, SPRINGFIELD, IL 62704-6423
(217) 698-7662
Mailing address
2221 CHECKERBERRY LN, SPRINGFIELD, IL 62711-7203
(217) 698-3426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008528
IL
Other
Enumeration date
05/26/2008
Last updated
09/16/2008
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