Individual
BOYD L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3726 LAKE ST STE A, HOMER, AK 99603-7663
(907) 235-7745
(907) 235-7710
Mailing address
3726 LAKE ST STE A, HOMER, AK 99603-7663
(907) 235-7745
(907) 235-7710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
68
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0854070001
DMERC
AK
05
—
OP0680
—
AK
Enumeration date
02/07/2008
Last updated
02/07/2008
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