Organization
WESLEY J WALKER, O.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA Y STEWART (INSURANCE/BILLING MANAGER)
(580) 658-6664
Entity
Organization
Contact information
Practice address
405 S BROADWAY ST, MARLOW, OK 73055-3029
(580) 658-6664
(580) 658-6665
Mailing address
405 S BROADWAY ST, MARLOW, OK 73055-3029
(580) 658-6664
(580) 658-6665
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1036
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243480001
DMERC
OK
01
—
731172901001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
01/16/2008
Last updated
05/22/2015
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