Individual
ZACHARY THOMAS WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 432-5800
Mailing address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 432-5800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2175DT
KY
Other
Enumeration date
09/13/2018
Last updated
09/02/2020
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