Individual
WALTER LEE KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
336 10TH AVE NE, HICKORY, NC 28601-3834
(828) 322-4973
(828) 322-1636
Mailing address
336 10TH AVE NE, HICKORY, NC 28601-3834
(828) 322-4973
(828) 322-1636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093GT
—
NC
Enumeration date
08/25/2005
Last updated
06/17/2013
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