Organization
TERRY L WALTON DOCTOR OF OPTOMETRY PC
Active
Other names
ASSOCIATES IN VISION CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L WALTON O.D. (OWNER / OPTOMETRIST)
(518) 792-0518
Entity
Organization
Contact information
Practice address
575 GLEN ST, BOX 2071, GLENS FALLS, NY 12801-2243
(518) 792-0518
(518) 792-4739
Mailing address
575 GLEN ST, BOX 2071, GLENS FALLS, NY 12801-2243
(518) 792-0518
(518) 792-4739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
UT003045-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02376218
—
NY
Enumeration date
08/31/2005
Last updated
04/19/2012
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