Organization
KIM WALTERS OD PA
Active
Other names
OPTIX EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY DAWN WALTERS O.D., P.A. (DOCTOR)
(828) 645-0061
Entity
Organization
Contact information
Practice address
49 N BUNCOMBE SCHOOL RD, WEAVERVILLE, NC 28787-9608
(828) 645-0061
(828) 645-0602
Mailing address
PO BOX 564, WEAVERVILLE, NC 28787-0564
(828) 645-0061
(828) 645-0602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09003
BLUE CROSS BLUE SHEILD OF NC
NC
01
—
410049043
RAIL ROAD MEDICAE
NC
05
—
7909003
—
NC
Enumeration date
06/19/2007
Last updated
07/13/2009
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