Provider Demographics
NPI:1518911817
Name:WALKER, DANIEL T (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:WALKER
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 1:361 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1414
Mailing Address - Country:US
Mailing Address - Phone:215-536-8540
Mailing Address - Fax:215-536-8117
Practice Address - Street 1:361 S 11TH ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1414
Practice Address - Country:US
Practice Address - Phone:215-536-8540
Practice Address - Fax:215-536-8117
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001546152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30168Medicare UPIN
PA401659Medicare ID - Type Unspecified