Individual
DR. TERRY L WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
575 GLEN ST, GLENS FALLS, NY 12801-2243
(518) 792-0518
(518) 792-4739
Mailing address
575 GLEN ST, GLENS FALLS, NY 12801-2243
(518) 792-0518
(518) 792-4739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003045-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00406400
—
NY
Enumeration date
01/25/2008
Last updated
04/19/2012
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