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Individual

ROBERT L WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OA002887
NJ
152W00000X
Optometrist
Primary
OEG000145
PA
152WV0400X
Vision Therapy Optometrist
TO000580
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023480000
KEYSTONE AND AMERIHEALTH
01
092637
BLUE SHIELD HORIZON
NJ
01
092637
BLUE SHIELD HIGHMARK
PA
01
3208
AETNA
PA
Enumeration date
01/24/2006
Last updated
01/11/2010
Update your record

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