Organization
PHILLIP A. WALKER O.D. INC.
Active
Other names
The Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP A. WALKER O.D. (PRESIDENT)
(405) 751-5638
Entity
Organization
Contact information
Practice address
16135 NORTH MAY AVENUE, SUITE A, EDMOND, OK 73013
(405) 751-5638
(405) 752-1692
Mailing address
16135 NORTH MAY AVENUE, SUITE A, EDMOND, OK 73013
(405) 751-5638
(405) 752-1692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
852
OK
152WC0802X
Corneal and Contact Management Optometrist
852
OK
152WS0006X
Sports Vision Optometrist
852
OK
152WV0400X
Vision Therapy Optometrist
852
OK
152WX0102X
Occupational Vision Optometrist
852
OK
156FC0800X
Contact Lens Technician/Technologist
852
OK
156FC0801X
Contact Lens Fitter
852
OK
156FX1800X
Optician
852
OK
332H00000X
Eyewear Supplier
852
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OK0852
STATE OF OKLA LICENSE NUM
OK
Enumeration date
11/09/2006
Last updated
07/06/2010
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