Provider Demographics
NPI:1023379658
Name:WALKER, NORMA KAYE (OPTICIAN)
Entity Type:Individual
Prefix:MISS
First Name:NORMA
Middle Name:KAYE
Last Name:WALKER
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Gender:F
Credentials:OPTICIAN
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Mailing Address - Street 1:1507 HERSHBERGER RD NW
Mailing Address - Street 2:UNIT C
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-7319
Mailing Address - Country:US
Mailing Address - Phone:540-362-0300
Mailing Address - Fax:540-362-5574
Practice Address - Street 1:1507 HERSHBERGER RD NW
Practice Address - Street 2:UNIT C
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-7319
Practice Address - Country:US
Practice Address - Phone:540-362-0300
Practice Address - Fax:540-362-5574
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA1101002935156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician