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Individual

DR. ERIC Y WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5310 OLD COURT RD, STE 103, RANDALLSTOWN, MD 21133-5281
(410) 922-2020
(410) 922-3867
Mailing address
5310 OLD COURT RD, STE 103, RANDALLSTOWN, MD 21133-5281
(410) 922-2020
(410) 922-3867

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1000
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4058674 00
MD
01
5044760001
DMEPOS
MD
01
P00173954
RAILROAD MEDICARE
MD
Enumeration date
06/08/2005
Last updated
07/08/2007
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