Organization
WALKER EYECARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY H WALKER OD (OWNER)
(208) 376-0893
Entity
Organization
Contact information
Practice address
350 N MILWAUKEE ST STE 1188, BOISE, ID 83704-9128
(208) 376-0893
(208) 376-3029
Mailing address
350 N MILWAUKEE ST STE 1188, BOISE, ID 83704-9128
(208) 376-0893
(208) 376-3029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487840328
NPI TYPE 1
—
Enumeration date
07/25/2012
Last updated
10/25/2012
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