Individual
DONALD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6823 PINES RD, SUITE B, SHREVEPORT, LA 71129-5205
(318) 688-3050
(318) 688-3233
Mailing address
6823 PINES RD, SUITE B, SHREVEPORT, LA 71129-5205
(318) 688-3050
(318) 688-3233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
809097T
LA
332H00000X
Eyewear Supplier
152W00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342696
—
LA
Enumeration date
09/19/2005
Last updated
12/16/2008
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