Organization
JOHN WALTON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK WALTON OD (PRESIDENT)
(812) 322-5385
Entity
Organization
Contact information
Practice address
3200 JOHN WILLIAMS BLVD, BEDFORD, IN 47421-9153
(812) 277-1275
(812) 323-7653
Mailing address
3028 E DANIEL ST, BLOOMINGTON, IN 47401-4391
(812) 323-7666
(812) 323-7653
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
IN18001851A & B
IN
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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