Provider Demographics
NPI:1285646091
Name:MORROW, WALTER RAYMOND (OD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:RAYMOND
Last Name:MORROW
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5435 HEATHERDOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-4605
Mailing Address - Country:US
Mailing Address - Phone:419-866-8717
Mailing Address - Fax:
Practice Address - Street 1:1120 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4733
Practice Address - Country:US
Practice Address - Phone:419-352-6505
Practice Address - Fax:419-352-6607
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHT-569152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist