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Individual

BRIAN WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1 WAHOO AVE BLDG 449, GROTON, CT 06349-2324
(619) 532-9830
(619) 532-9889
Mailing address
1 WAHOO AVE BLDG 449, GROTON, CT 06349-2324

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
15236
CA
152W00000X
Optometrist
Primary
4901005584
MI

Other

Enumeration date
06/18/2015
Last updated
08/22/2025
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